20D0877113 CLIA NUMBER - SPRING HARBOR HOSPITAL

Laboratory Demographics

  • CLIA Code: 20D0877113
  • Facility Name: SPRING HARBOR HOSPITAL
  • Facility Address: 123 ANDOVER ROAD
    WESTBROOK, ME
    ZIP 04092
  • Facility Phone: 207 661-6191
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: LEE WOLFRUM
  • NPI Number: 1275286668
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 20D0877113
LAB Type Hospital
Facility Name SPRING HARBOR HOSPITAL
Street 123 ANDOVER ROAD
City WESTBROOK
State ME
ZIP 04092
Phone 207 661-6191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Hospital
Lab Director LEE WOLFRUM

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