CLIA lab
CLIA 30D2321644: Revolution Longevity and Wellness LLC
Stratham, NH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 30D2321644 belongs to Revolution Longevity and Wellness LLC in Stratham, NH.
Certificate of Waiver, effective April 8, 2025, expires April 7, 2027.
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
- April 8, 2025
- Certificate expiration
- April 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 8, 2025
- Facility type
- Other practitioner
- 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
- 30D2321644
- Lab name
- Revolution Longevity and Wellness LLC
- Address
- 91 Portsmouth Ave, Ste E, Stratham, NH 03885
- Phone
- (603) 793-5969
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Stratham, NH
- Convenientmd Urgent Care - ExeterCertificate of Waiver, Other30D2081229
- Core Pediatric & Adolescent Medicine-StrathamCertificate of Waiver, Physician office30D2170267
- Core Physicians, LLCCertificate of Waiver, Physician office30D0998745
- Core Primary Care-StrathamCertificate of Waiver, Physician office30D0971899
- Optima DermatologyCertificate of Compliance, Physician office30D2247185
- Seacoast Direct Primary Care, PLLCCertificate of Waiver, Community clinic30D2246816
- Straham Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center30D1095355
- Stratham Volunteer Fire DepartmentCertificate of Waiver, Ambulance30D2198315
Related
Questions
What is the CLIA number for Revolution Longevity and Wellness LLC in Stratham?
30D2321644, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revolution Longevity and Wellness LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 30D2321644 expire?
The CMS file lists April 7, 2027 as the certificate expiration date; the certificate took effect April 8, 2025.