20D0704776 CLIA NUMBER - ACADIA HOSPITAL CORPORATION

Laboratory Demographics

  • CLIA Code: 20D0704776
  • Facility Name: ACADIA HOSPITAL CORPORATION
  • Facility Address: 268 STILLWATER AVENUE
    BANGOR, ME
    ZIP 04401
  • Facility Phone: 207 973-6100
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: CHARMAINE PATEL
  • NPI Number: 1578911830
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 20D0704776
LAB Type Hospital
Facility Name ACADIA HOSPITAL CORPORATION
Street 268 STILLWATER AVENUE
City BANGOR
State ME
ZIP 04401
Phone 207 973-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Hospital
Lab Director CHARMAINE PATEL

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