CLIA lab

CLIA 30D2190499: Derry Medical Center, PA

Derry, NH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 30D2190499 belongs to Derry Medical Center, PA in Derry, NH.

Certificate of Waiver, effective August 14, 2026, expires August 13, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 14, 2026
Certificate expiration
August 13, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 14, 2020
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
30D2190499
Lab name
Derry Medical Center, PA
Address
15 Tsienneto Rd, Derry, NH 03038
Phone
(603) 537-3090
Fax
(603) 537-1327

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Derry, NH

Related

Questions

What is the CLIA number for Derry Medical Center, PA in Derry?

30D2190499, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Derry Medical Center, PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 30D2190499 expire?

The CMS file lists August 13, 2028 as the certificate expiration date; the certificate took effect August 14, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.