CLIA lab
CLIA 22D0916109: Penacook Place, Inc
Haverhill, MA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 22D0916109 belongs to Penacook Place, Inc in Haverhill, MA.
Certificate of Waiver, effective June 14, 2026, expires June 13, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 14, 2026
- Certificate expiration
- June 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 14, 1996
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 22D0916109
- Lab name
- Penacook Place, Inc
- Address
- 150 Water St, Haverhill, MA 01830
- Phone
- (978) 374-0707
- Fax
- (978) 521-0495
Annual test volume the lab reported
- Waived tests
- 60,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Penacook Place, IncCMS Care Compare ratings for the facility at the same street address
Other labs in Haverhill, MA
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- Aspen Hill Operator, LLCCertificate of Waiver, Skilled nursing or nursing facility22D0902950
- Baker-Katz Skilled Nursing and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility22D0913384
- Beth Israel Deaconess Health CareCertificate of Waiver, Physician office22D2106288
- Beth Israel Deaconess Healthcare - Haverhill / AjhCertificate of Waiver, Physician office22D2092421
- Beth Israel Lahey Health HaverhillCertificate of Waiver, Physician office22D2324438
- Cedardale Health & FitnessCertificate of Waiver, Health fair22D2067387
- Children's Health CareCertificate of Waiver, Physician office22D0908249
- City of Haverhill Public Health DepartmentCertificate of Waiver, Other22D2314932
- Essex County Obgyn Associates IncCertificate for Provider-Performed Microscopy Procedures, Physician office22D2318801
Related
Questions
What is the CLIA number for Penacook Place, Inc in Haverhill?
22D0916109, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Penacook Place, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 22D0916109 expire?
The CMS file lists June 13, 2028 as the certificate expiration date; the certificate took effect June 14, 2026.