20D0712450 CLIA NUMBER - MIDCOAST MEDICINE & WELLNESS, PC

Laboratory Demographics

  • CLIA Code: 20D0712450
  • Facility Name: MIDCOAST MEDICINE & WELLNESS, PC
  • Facility Address: 1112 COMMERCIAL ST
    ROCKPORT, ME
    ZIP 04856
  • Facility Phone: 207 236-2169
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY ASMORE
  • NPI Number: 1346328242
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D0712450
LAB Type Physician Office
Facility Name MIDCOAST MEDICINE & WELLNESS, PC
Street 1112 COMMERCIAL ST
City ROCKPORT
State ME
ZIP 04856
Phone 207 236-2169
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director MARY ASMORE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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