20D0089747 CLIA NUMBER - MAINEHEALTH DBA MAINEHEALTH LINCOLN HOSPITAL

Laboratory Demographics

  • CLIA Code: 20D0089747
  • Facility Name: MAINEHEALTH DBA MAINEHEALTH LINCOLN HOSPITAL
  • Facility Address: 35 MILES STREET
    DAMARISCOTTA, ME
    ZIP 04543
  • Facility Phone: 207 563-4999
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: TIMOTHY R. FOX
  • NPI Number: 1316035116
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 20D0089747
LAB Type Hospital
Facility Name MAINEHEALTH DBA MAINEHEALTH LINCOLN HOSPITAL
Street 35 MILES STREET
City DAMARISCOTTA
State ME
ZIP 04543
Phone 207 563-4999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Hospital
Lab Director TIMOTHY R. FOX

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