22D2284264 CLIA NUMBER - METANOIA RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 22D2284264
  • Facility Name: METANOIA RECOVERY, LLC
  • Facility Address: 25 RAILROAD AVENUE
    HAVERHILL, MA
    ZIP 01832
  • Facility Phone: 774 479-1151
  • Facility Type: Other - OUT - PATIENT SUD
  • Facility Type: Waiver
  • Lab Director: LINDSEY DURAN
  • NPI Number: 1992331821
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2284264
LAB Type Other - OUT - PATIENT SUD
Facility Name METANOIA RECOVERY, LLC
Street 25 RAILROAD AVENUE
City HAVERHILL
State MA
ZIP 01832
Phone 774 479-1151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Other - OUT - PATIENT SUD
Lab Director LINDSEY DURAN

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