30D2188881 CLIA NUMBER - BONFIRE BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 30D2188881
  • Facility Name: BONFIRE BEHAVIORAL HEALTH
  • Facility Address: 35 E INDUSTRIAL WAY, STE 11
    ROCHESTER, NH
    ZIP 03867
  • Facility Phone: 603 921-3177
  • Facility Type: Other - POC URINE DRUG TESTING
  • Facility Type: Waiver
  • Lab Director: KALI K. GUILMET-TALBOT
  • NPI Number: 1982081154
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D2188881
LAB Type Other - POC URINE DRUG TESTING
Facility Name BONFIRE BEHAVIORAL HEALTH
Street 35 E INDUSTRIAL WAY, STE 11
City ROCHESTER
State NH
ZIP 03867
Phone 603 921-3177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Other - POC URINE DRUG TESTING
Lab Director KALI K. GUILMET-TALBOT

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