20D0089110 CLIA NUMBER - RUMFORD HOPSITAL SPECIALTY CLINICS

Laboratory Demographics

  • CLIA Code: 20D0089110
  • Facility Name: RUMFORD HOPSITAL SPECIALTY CLINICS
  • Facility Address: 420 FRANKLIN STREET
    RUMFORD, ME
    ZIP 04276
  • Facility Phone: 207 369-1000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. THOMAS J. DELUCA
  • NPI Number: 1205991122
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 20D0089110
LAB Type Physician Office
Facility Name RUMFORD HOPSITAL SPECIALTY CLINICS
Street 420 FRANKLIN STREET
City RUMFORD
State ME
ZIP 04276
Phone 207 369-1000
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 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director DR. THOMAS J. DELUCA

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