20D2202315 CLIA NUMBER - HAPPY HAVEN

Laboratory Demographics

CLIA Code: 20D2202315
Facility Name: HAPPY HAVEN
Facility Address: 158 COURT STREET, SUITE 13
AUBURN, ME
ZIP 04210
Facility Phone: 207 518-1758
Facility Type: Assisted Living Facility
Facility Type: Waiver
Lab Director: AMANDA M. KAROMBA
NPI Number: 1447745112
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	20D2202315
LAB Type	Assisted Living Facility
Facility Name	HAPPY HAVEN
Street	158 COURT STREET, SUITE 13
City	AUBURN
State	ME
ZIP	04210
Phone	207 518-1758
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/25/2024
Certificate Expiration Date	11/24/2026
Facility Type	Assisted Living Facility
Lab Director	AMANDA M. KAROMBA

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This page was last updated on: 9/29/2025