30D2248852 CLIA NUMBER - GRAFTON COUNTY ALTERNATIVE SENTENCING

Laboratory Demographics

  • CLIA Code: 30D2248852
  • Facility Name: GRAFTON COUNTY ALTERNATIVE SENTENCING
  • Facility Address: 3801 DARTMOUTH COLLEGE HWY
    N HAVERHILL, NH
    ZIP 03774
  • Facility Phone: 603 787-2042
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RENEE DEPALO
  • NPI Number: 1346604469
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 30D2248852
LAB Type Practitioner Other
Facility Name GRAFTON COUNTY ALTERNATIVE SENTENCING
Street 3801 DARTMOUTH COLLEGE HWY
City N HAVERHILL
State NH
ZIP 03774
Phone 603 787-2042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Practitioner Other
Lab Director RENEE DEPALO

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