20D0672379 CLIA NUMBER - WINDWARD GARDENS

Laboratory Demographics

  • CLIA Code: 20D0672379
  • Facility Name: WINDWARD GARDENS
  • Facility Address: 105 MECHANIC STREET ATTN PATRICIA HOLBROOK
    CAMDEN, ME
    ZIP 04843
  • Facility Phone: 207 236-4197
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA PORTER
  • NPI Number: 1346302635
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D0672379
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WINDWARD GARDENS
Street 105 MECHANIC STREET ATTN PATRICIA HOLBROOK
City CAMDEN
State ME
ZIP 04843
Phone 207 236-4197
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 JESSICA PORTER

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