20D0684504 CLIA NUMBER - MERCY HOME

Laboratory Demographics

  • CLIA Code: 20D0684504
  • Facility Name: MERCY HOME
  • Facility Address: PO BOX 228
    EAGLE LAKE, ME
    ZIP 04739
  • Facility Phone: (207) 444-5921
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAUL PELLETIER
  • NPI Number: 1124090238
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D0684504
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MERCY HOME
Street PO BOX 228
City EAGLE LAKE
State ME
ZIP 04739
Phone 2074445921
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 PAUL PELLETIER

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This page was last updated on: 5/18/2026