20D0089926 CLIA NUMBER - AROOSTOOK COUNTY SURGICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 20D0089926
  • Facility Name: AROOSTOOK COUNTY SURGICAL ASSOCIATES
  • Facility Address: 22 HARTFORD STREET
    HOULTON, ME
    ZIP 04730
  • Facility Phone: 207 532-7936
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ERIC RAU
  • NPI Number: 1902871338
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 20D0089926
LAB Type Physician Office
Facility Name AROOSTOOK COUNTY SURGICAL ASSOCIATES
Street 22 HARTFORD STREET
City HOULTON
State ME
ZIP 04730
Phone 207 532-7936
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Physician Office
Lab Director ERIC RAU

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