30D2041628 CLIA NUMBER - CEDARCREST INC

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CLIA Record

Field Name Field Value
CLIA Number 30D2041628
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name CEDARCREST INC
Street 91 MAPLE AVENUE
City KEENE
State NH
ZIP 03431
Phone 603 358-3384
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director JESSE HAYSTON

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