CLIA lab
CLIA 30D2202187: Bruce D Latham, DO, PA
Conway, NH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 30D2202187 belongs to Bruce D Latham, DO, PA in Conway, NH.
Certificate of Waiver, effective November 25, 2024, expires November 24, 2026.
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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 25, 2024
- Certificate expiration
- November 24, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 25, 2020
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 30D2202187
- Lab name
- Bruce D Latham, DO, PA
- Address
- 66 Main St, Conway, NH 03818
- Phone
- (603) 323-6199
- Fax
- (603) 323-6075
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Northern Human ServicesCertificate of Waiver, Other30D2202942
- Saco River Medical Group PCCertificate of Compliance, Physician office30D0920300
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Related
Questions
What is the CLIA number for Bruce D Latham, DO, PA in Conway?
30D2202187, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bruce D Latham, DO, PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 30D2202187 expire?
The CMS file lists November 24, 2026 as the certificate expiration date; the certificate took effect November 25, 2024.