20D0717018 CLIA NUMBER - CEDARS NURSING CARE CENTER

Laboratory Demographics

  • CLIA Code: 20D0717018
  • Facility Name: CEDARS NURSING CARE CENTER
  • Facility Address: 630 OCEAN AVENUE
    PORTLAND, ME
    ZIP 04103
  • Facility Phone: 207 772-5456
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. SUSAN DIONNE-JONES
  • NPI Number: 1750381018
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D0717018
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CEDARS NURSING CARE CENTER
Street 630 OCEAN AVENUE
City PORTLAND
State ME
ZIP 04103
Phone 207 772-5456
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 MS. SUSAN DIONNE-JONES

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