20D0725780 CLIA NUMBER - MAINEHEALTH OBSTETRICS AND GYNECOLOGY ROCKPORT

Laboratory Demographics

  • CLIA Code: 20D0725780
  • Facility Name: MAINEHEALTH OBSTETRICS AND GYNECOLOGY ROCKPORT
  • Facility Address: 3 GLEN COVE DRIVE STE 3
    ROCKPORT, ME
    ZIP 04856
  • Facility Phone: 207 301-8480
  • Facility Type: Other - HOSPITAL AND PHYS OFFICE
  • Facility Type: Microscopy
  • Lab Director: THOMAS OCONNOR
  • NPI Number: 1568273241
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 20D0725780
LAB Type Other - HOSPITAL AND PHYS OFFICE
Facility Name MAINEHEALTH OBSTETRICS AND GYNECOLOGY ROCKPORT
Street 3 GLEN COVE DRIVE STE 3
City ROCKPORT
State ME
ZIP 04856
Phone 207 301-8480
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Other - HOSPITAL AND PHYS OFFICE
Lab Director THOMAS OCONNOR

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