20D0711872 CLIA NUMBER - CARIBOU NURSING HOME

Laboratory Demographics

  • CLIA Code: 20D0711872
  • Facility Name: CARIBOU NURSING HOME
  • Facility Address: 10 BERNADETTE STREET
    CARIBOU, ME
    ZIP 04736
  • Facility Phone: 207 498-3102
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CARL FLYNN
  • NPI Number: 1962402990
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D0711872
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CARIBOU NURSING HOME
Street 10 BERNADETTE STREET
City CARIBOU
State ME
ZIP 04736
Phone 207 498-3102
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 CARL FLYNN

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