20D0876129 CLIA NUMBER - DURGIN PINES

Laboratory Demographics

  • CLIA Code: 20D0876129
  • Facility Name: DURGIN PINES
  • Facility Address: 9 LEWIS RD
    KITTERY, ME
    ZIP 03904
  • Facility Phone: 207 439-9800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JABBAR FAZELI
  • NPI Number: 1881866580
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D0876129
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DURGIN PINES
Street 9 LEWIS RD
City KITTERY
State ME
ZIP 03904
Phone 207 439-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. JABBAR FAZELI

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