30D2276499 CLIA NUMBER - HARBOR INTERVENTIONAL PAIN CENTER, LLC

Laboratory Demographics

  • CLIA Code: 30D2276499
  • Facility Name: HARBOR INTERVENTIONAL PAIN CENTER, LLC
  • Facility Address: 291 SHATTUCK WAY, STE 2
    NEWINGTON, NH
    ZIP 03801
  • Facility Phone: 413 218-1201
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY L. LACY
  • NPI Number: 1710627237
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 30D2276499
LAB Type Physician Office
Facility Name HARBOR INTERVENTIONAL PAIN CENTER, LLC
Street 291 SHATTUCK WAY, STE 2
City NEWINGTON
State NH
ZIP 03801
Phone 413 218-1201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director TIMOTHY L. LACY

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