CLIA lab
CLIA 30D2330333: Blue Heron Neurofeedback & Counseling
Gorham, NH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 30D2330333 belongs to Blue Heron Neurofeedback & Counseling in Gorham, NH.
Certificate of Waiver, effective September 15, 2025, expires September 14, 2027.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 15, 2025
- Certificate expiration
- September 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 2025
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- 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
- 30D2330333
- Lab name
- Blue Heron Neurofeedback & Counseling
- Address
- 515 Main St, Gorham, NH 03581
- Phone
- (603) 356-6400
- Fax
- (603) 413-4666
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Gorham, NH
- Androscoggin Valley HospitalCertificate of Compliance, Other practitioner30D0086532
- Coos County Family Health Services IncCertificate of Waiver, Federally qualified health center30D2314503
- Coos County Family Health Services IncCertificate of Waiver, Federally qualified health center30D2314504
- Gorham Fire & EMSCertificate of Waiver, Ambulance30D0933386
- Horton CenterCertificate of Waiver, Other30D2209401
- Walmart Pharmacy 10-2634Certificate of Waiver, Pharmacy30D2156126
Related
Questions
What is the CLIA number for Blue Heron Neurofeedback & Counseling in Gorham?
30D2330333, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blue Heron Neurofeedback & Counseling hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 30D2330333 expire?
The CMS file lists September 14, 2027 as the certificate expiration date; the certificate took effect September 15, 2025.