20D0088035 CLIA NUMBER - LEDGEWOOD MANOR INC

Laboratory Demographics

  • CLIA Code: 20D0088035
  • Facility Name: LEDGEWOOD MANOR INC
  • Facility Address: 200 TANDBERG TRAIL
    WINDHAM, ME
    ZIP 04062
  • Facility Phone: 207 892-2261
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NATE BENNETT
  • NPI Number: 1568522050
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D0088035
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LEDGEWOOD MANOR INC
Street 200 TANDBERG TRAIL
City WINDHAM
State ME
ZIP 04062
Phone 207 892-2261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NATE BENNETT

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