20D0089610 CLIA NUMBER - PENOBSCOT VALLEY HOSPITAL

Laboratory Demographics

CLIA Number: 20D0089610

Facility Name: PENOBSCOT VALLEY HOSPITAL

Facility Address:
7 TRANSALPINE ROAD
LINCOLN, ME
ZIP 04457
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Facility Phone Number: 207 794-7119

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1053886184

Taxonomy: 213ES0103X - Podiatrist

CLIA Record

Field Name	Field Value
CLIA Number	20D0089610
LAB Type	Hospital
Facility Name	PENOBSCOT VALLEY HOSPITAL
Street	7 TRANSALPINE ROAD
City	LINCOLN
State	ME
ZIP	04457
Phone	207 794-7119
CertificateType	2
CertificateEffectiveDate	5/17/2023
CertificateExpirationDate	5/16/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024