30D2118334 CLIA NUMBER - HABIT OPCO - MANCHESTER

Laboratory Demographics

  • CLIA Code: 30D2118334
  • Facility Name: HABIT OPCO - MANCHESTER
  • Facility Address: 20 MARKET ST
    MANCHESTER, NH
    ZIP 03101
  • Facility Phone: 603 622-4747
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DAVID TORTORELLA
  • NPI Number: 1043720113
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D2118334
LAB Type Comp. Outpatient Rehab Facility
Facility Name HABIT OPCO - MANCHESTER
Street 20 MARKET ST
City MANCHESTER
State NH
ZIP 03101
Phone 603 622-4747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director DAVID TORTORELLA

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