30D2118335 CLIA NUMBER - HABIT OPCO, INC

Laboratory Demographics

  • CLIA Code: 30D2118335
  • Facility Name: HABIT OPCO, INC
  • Facility Address: 254 PLAINFIELD RD
    WEST LEBANON, NH
    ZIP 03784
  • Facility Phone: 603 298-2146
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: STANLEY G. ELFBAUM
  • NPI Number: 1033629100
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D2118335
LAB Type Comp. Outpatient Rehab Facility
Facility Name HABIT OPCO, INC
Street 254 PLAINFIELD RD
City WEST LEBANON
State NH
ZIP 03784
Phone 603 298-2146
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 STANLEY G. ELFBAUM

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This page was last updated on: 3/20/2025