CLIA lab
CLIA 30D2202762: Wakefield Family Medicine, PLLC
Sanbornville, NH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 30D2202762 belongs to Wakefield Family Medicine, PLLC in Sanbornville, NH.
Certificate of Waiver, effective December 1, 2024, expires November 30, 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
- December 1, 2024
- Certificate expiration
- November 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 1, 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
- 30D2202762
- Lab name
- Wakefield Family Medicine, PLLC
- Address
- 131 Meadow St, Sanbornville, NH 03872
- Phone
- (603) 871-8227
- Fax
- (603) 871-8285
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sanbornville, NH
Related
Questions
What is the CLIA number for Wakefield Family Medicine, PLLC in Sanbornville?
30D2202762, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wakefield Family Medicine, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 30D2202762 expire?
The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.