30D2139279 CLIA NUMBER - HEADREST

Laboratory Demographics

  • CLIA Code: 30D2139279
  • Facility Name: HEADREST
  • Facility Address: 14 CHURCH ST
    LEBANON, NH
    ZIP 03766
  • Facility Phone: 603 448-4872
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: DAVE BELANGER
  • NPI Number: 1407266828
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 30D2139279
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name HEADREST
Street 14 CHURCH ST
City LEBANON
State NH
ZIP 03766
Phone 603 448-4872
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director DAVE BELANGER

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