20D0089573 CLIA NUMBER - NORTHERN LIGHT MAYO HOSPITAL

Laboratory Demographics

  • CLIA Code: 20D0089573
  • Facility Name: NORTHERN LIGHT MAYO HOSPITAL
  • Facility Address: 897 WEST MAIN STREET
    DOVER FOXCROFT, ME
    ZIP 04426
  • Facility Phone: 207 564-1609
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: ORIN W. BUETENS
  • NPI Number: 1033231154
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D0089573
LAB Type Hospital
Facility Name NORTHERN LIGHT MAYO HOSPITAL
Street 897 WEST MAIN STREET
City DOVER FOXCROFT
State ME
ZIP 04426
Phone 207 564-1609
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Hospital
Lab Director ORIN W. BUETENS

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This page was last updated on: 6/4/2025