20D0090093 CLIA NUMBER - MAINEHEALTH PEN BAY HOSPITAL

Laboratory Demographics

  • CLIA Code: 20D0090093
  • Facility Name: MAINEHEALTH PEN BAY HOSPITAL
  • Facility Address: 6 GLEN COVE DRIVE
    ROCKPORT, ME
    ZIP 04856
  • Facility Phone: 207 301-8480
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: WILLIAM LAMBIE
  • NPI Number: 1407336209
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D0090093
LAB Type Hospital
Facility Name MAINEHEALTH PEN BAY HOSPITAL
Street 6 GLEN COVE DRIVE
City ROCKPORT
State ME
ZIP 04856
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 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Hospital
Lab Director WILLIAM LAMBIE

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