20D0862863 CLIA NUMBER - CREST VIEW MANOR

Laboratory Demographics

  • CLIA Code: 20D0862863
  • Facility Name: CREST VIEW MANOR
  • Facility Address: RD #2 CALAIS ROAD
    HOULTON, ME
    ZIP 04730
  • Facility Phone: 207 532-3498
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LOUIS G. DUGAL
  • NPI Number: 1235169616
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D0862863
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CREST VIEW MANOR
Street RD #2 CALAIS ROAD
City HOULTON
State ME
ZIP 04730
Phone 207 532-3498
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 LOUIS G. DUGAL

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