20D0721365 CLIA NUMBER - EDGEWOOD REHAB & LIVING CENTER

Laboratory Demographics

  • CLIA Code: 20D0721365
  • Facility Name: EDGEWOOD REHAB & LIVING CENTER
  • Facility Address: 221 FAIRBANKS ROAD
    FARMINGTON, ME
    ZIP 04938
  • Facility Phone: 207 778-3386
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LORI J. FISH
  • NPI Number: 1043370273
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D0721365
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EDGEWOOD REHAB & LIVING CENTER
Street 221 FAIRBANKS ROAD
City FARMINGTON
State ME
ZIP 04938
Phone 207 778-3386
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 LORI J. FISH

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