20D0088043 CLIA NUMBER - MAINEHEALTH PRIMARY CARE WINDHAM AND STANDISH

Laboratory Demographics

  • CLIA Code: 20D0088043
  • Facility Name: MAINEHEALTH PRIMARY CARE WINDHAM AND STANDISH
  • Facility Address: 582 ROOSEVELT TRAIL
    WINDHAM, ME
    ZIP 04062
  • Facility Phone: 207 892-3233
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRED EMERSON
  • NPI Number: 1023321593
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D0088043
LAB Type Physician Office
Facility Name MAINEHEALTH PRIMARY CARE WINDHAM AND STANDISH
Street 582 ROOSEVELT TRAIL
City WINDHAM
State ME
ZIP 04062
Phone 207 892-3233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Physician Office
Lab Director FRED EMERSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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