20D0089773 CLIA NUMBER - WISCASSET FAMILY HEALTH

Laboratory Demographics

  • CLIA Code: 20D0089773
  • Facility Name: WISCASSET FAMILY HEALTH
  • Facility Address: 35 WATER STREET
    WISCASSET, ME
    ZIP 04578
  • Facility Phone: 207 882-6008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORTNEY LINVILLE
  • NPI Number: 1285867044
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D0089773
LAB Type Physician Office
Facility Name WISCASSET FAMILY HEALTH
Street 35 WATER STREET
City WISCASSET
State ME
ZIP 04578
Phone 207 882-6008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director CORTNEY LINVILLE

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