20D0088675 CLIA NUMBER - PORTLAND CENTER FOR ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 20D0088675
  • Facility Name: PORTLAND CENTER FOR ASSISTED LIVING
  • Facility Address: 68 DEVONSHIRE
    PORTLAND, ME
    ZIP 04103
  • Facility Phone: 207 772-2893
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TED J. PURDY
  • NPI Number: 1902887060
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D0088675
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PORTLAND CENTER FOR ASSISTED LIVING
Street 68 DEVONSHIRE
City PORTLAND
State ME
ZIP 04103
Phone 207 772-2893
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 TED J. PURDY

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