30D2248177 CLIA NUMBER - PINE HAVEN BOYS CENTER

Laboratory Demographics

CLIA Code: 30D2248177
Facility Name: PINE HAVEN BOYS CENTER
Facility Address: 133 RIVER RD
ALLENSTOWN, NH
ZIP 03275
Facility Phone: 603 485-7141
Facility Type: School/Student Health Service
Facility Type: Waiver
Lab Director: ZANATTA REMO
NPI Number: 1972729747
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	30D2248177
LAB Type	School/Student Health Service
Facility Name	PINE HAVEN BOYS CENTER
Street	133 RIVER RD
City	ALLENSTOWN
State	NH
ZIP	03275
Phone	603 485-7141
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/12/2024
Certificate Expiration Date	1/11/2026
Facility Type	School/Student Health Service
Lab Director	ZANATTA REMO

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