20D0089767 CLIA NUMBER - MAINEHEALTH PRIMARY CARE FAMILY MEDICINE WALDOBORO

Laboratory Demographics

  • CLIA Code: 20D0089767
  • Facility Name: MAINEHEALTH PRIMARY CARE FAMILY MEDICINE WALDOBORO
  • Facility Address: 27 MILL ST
    WALDOBORO, ME
    ZIP 04572
  • Facility Phone: 207 301-8480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUDITH ALDRICH
  • NPI Number: 1053487702
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 20D0089767
LAB Type Physician Office
Facility Name MAINEHEALTH PRIMARY CARE FAMILY MEDICINE WALDOBORO
Street 27 MILL ST
City WALDOBORO
State ME
ZIP 04572
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 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Physician Office
Lab Director JUDITH ALDRICH

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