20D0089815 CLIA NUMBER - MAINE COAST MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 20D0089815
  • Facility Name: MAINE COAST MEMORIAL HOSPITAL
  • Facility Address: 50 UNION ST ATTN LABORATORY
    ELLSWORTH, ME
    ZIP 04605
  • Facility Phone: 207 664-5325
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: SCOTT DUFRESNE MD
  • NPI Number: 1184955692
  • Taxonomy: 247100000X - Radiologic Technologist

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CLIA Record

Field Name Field Value
CLIA Number 20D0089815
LAB Type Hospital
Facility Name MAINE COAST MEMORIAL HOSPITAL
Street 50 UNION ST ATTN LABORATORY
City ELLSWORTH
State ME
ZIP 04605
Phone 207 664-5325
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director SCOTT DUFRESNE MD

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