20D0087670 CLIA NUMBER - YORK HOSPITAL PPM SITES

Laboratory Demographics

  • CLIA Code: 20D0087670
  • Facility Name: YORK HOSPITAL PPM SITES
  • Facility Address: 15 HOSPITAL DRIVE ATTN MARC DUBE
    YORK, ME
    ZIP 03909
  • Facility Phone: 207 361-6117
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT P. CERVENKA MD
  • NPI Number: 1023536240
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D0087670
LAB Type Physician Office
Facility Name YORK HOSPITAL PPM SITES
Street 15 HOSPITAL DRIVE ATTN MARC DUBE
City YORK
State ME
ZIP 03909
Phone 207 361-6117
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Physician Office
Lab Director ROBERT P. CERVENKA MD

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