CLIA lab

CLIA 30D2311379: Bae Independence Hall

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

CLIA number 30D2311379 belongs to Bae Independence Hall in Manchester, NH.

Certificate of Waiver, effective September 20, 2026, expires September 19, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 20, 2026
Certificate expiration
September 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 20, 2024
Facility type
Other
Ownership (control type)
Other
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
30D2311379
Lab name
Bae Independence Hall
Address
335 Somerville St, Manchester, NH 03103
Phone
(603) 821-7788
Fax
(603) 821-5620

Annual test volume the lab reported

Waived tests
50

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

Other labs in Manchester, NH

Related

Questions

What is the CLIA number for Bae Independence Hall in Manchester?

30D2311379, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bae Independence Hall hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 30D2311379 expire?

The CMS file lists September 19, 2028 as the certificate expiration date; the certificate took effect September 20, 2026.

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