20D0689453 CLIA NUMBER - COASTAL MANOR CORP

Laboratory Demographics

  • CLIA Code: 20D0689453
  • Facility Name: COASTAL MANOR CORP
  • Facility Address: 20 W MAIN ST
    YARMOUTH, ME
    ZIP 04096
  • Facility Phone: 207 846-5013
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: VANESSA PLANTE
  • NPI Number: 1811990757
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D0689453
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COASTAL MANOR CORP
Street 20 W MAIN ST
City YARMOUTH
State ME
ZIP 04096
Phone 207 846-5013
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 VANESSA PLANTE

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