20D0089453 CLIA NUMBER - EASTERN MAINE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 20D0089453
  • Facility Name: EASTERN MAINE MEDICAL CENTER
  • Facility Address: 417 STATE ST STE 240
    BANGOR, ME
    ZIP 04401
  • Facility Phone: 207 973-6900
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MAYUR K. MOVALIA
  • NPI Number: 1780674580
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D0089453
LAB Type Hospital
Facility Name EASTERN MAINE MEDICAL CENTER
Street 417 STATE ST STE 240
City BANGOR
State ME
ZIP 04401
Phone 207 973-6900
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Hospital
Lab Director DR. MAYUR K. MOVALIA

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