20D0090306 CLIA NUMBER - OAK GROVE CENTER

Laboratory Demographics

  • CLIA Code: 20D0090306
  • Facility Name: OAK GROVE CENTER
  • Facility Address: 27 COOL STREET
    WATERVILLE, ME
    ZIP 04901
  • Facility Phone: 207 873-0721
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMANDA L. NELSON
  • NPI Number: 1457688962
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D0090306
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OAK GROVE CENTER
Street 27 COOL STREET
City WATERVILLE
State ME
ZIP 04901
Phone 207 873-0721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AMANDA L. NELSON

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