30D2306665 CLIA NUMBER - HABIT OPCO, LLC DBA CONCORD COMPREHENSIVE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 30D2306665
  • Facility Name: HABIT OPCO, LLC DBA CONCORD COMPREHENSIVE TREATMENT CENTER
  • Facility Address: 89 NORTH STATE ST
    CONCORD, NH
    ZIP 03301
  • Facility Phone: 802 299-5053
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JOHN JACOBS
  • NPI Number: 1609655117
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 30D2306665
LAB Type Comp. Outpatient Rehab Facility
Facility Name HABIT OPCO, LLC DBA CONCORD COMPREHENSIVE TREATMENT CENTER
Street 89 NORTH STATE ST
City CONCORD
State NH
ZIP 03301
Phone 802 299-5053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director JOHN JACOBS

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