20D0090060 CLIA NUMBER - MAINEHALTH PRIMARY CARE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 20D0090060
  • Facility Name: MAINEHALTH PRIMARY CARE INTERNAL MEDICINE
  • Facility Address: 760 COMMERCIAL STREET
    ROCKPORT, ME
    ZIP 04856
  • Facility Phone: 207 301-8480
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT LAURANCE
  • NPI Number: 1871603795
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D0090060
LAB Type Physician Office
Facility Name MAINEHALTH PRIMARY CARE INTERNAL MEDICINE
Street 760 COMMERCIAL STREET
City ROCKPORT
State ME
ZIP 04856
Phone 207 301-8480
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 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Physician Office
Lab Director ROBERT LAURANCE

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