30D2219632 CLIA NUMBER - BONFIRE BEHAVIORAL HEALTH DBA NEW HAMPSHIRE DETOX

Laboratory Demographics

  • CLIA Code: 30D2219632
  • Facility Name: BONFIRE BEHAVIORAL HEALTH DBA NEW HAMPSHIRE DETOX
  • Facility Address: 2957 MAIN ST
    BETHLEHEM, NH
    ZIP 03574
  • Facility Phone: 603 403-5552
  • Facility Type: Other - SUD TREATMENT FACILITY
  • Facility Type: Waiver
  • Lab Director: CLAYTON LINDBERG
  • NPI Number: 1073106274
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 30D2219632
LAB Type Other - SUD TREATMENT FACILITY
Facility Name BONFIRE BEHAVIORAL HEALTH DBA NEW HAMPSHIRE DETOX
Street 2957 MAIN ST
City BETHLEHEM
State NH
ZIP 03574
Phone 603 403-5552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Other - SUD TREATMENT FACILITY
Lab Director CLAYTON LINDBERG

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