20D0089238 CLIA NUMBER - MAINEHEALTH PRIMARY CARE FAMILY MEDICINE BROOKS

Laboratory Demographics

  • CLIA Code: 20D0089238
  • Facility Name: MAINEHEALTH PRIMARY CARE FAMILY MEDICINE BROOKS
  • Facility Address: 55 REYNOLDS ROAD
    BROOKS, ME
    ZIP 04921
  • Facility Phone: 207 301-8480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOROTHY CARIN
  • NPI Number: 1487720215
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D0089238
LAB Type Physician Office
Facility Name MAINEHEALTH PRIMARY CARE FAMILY MEDICINE BROOKS
Street 55 REYNOLDS ROAD
City BROOKS
State ME
ZIP 04921
Phone 207 301-8480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director DOROTHY CARIN

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