20D0887159 CLIA NUMBER - MAINEHEALTH DBA SMHC HOSPITAL CAMPUS

Laboratory Demographics

  • CLIA Code: 20D0887159
  • Facility Name: MAINEHEALTH DBA SMHC HOSPITAL CAMPUS
  • Facility Address: 1 MEDICAL CENTER DRIVE
    BIDDEFORD, ME
    ZIP 04005
  • Facility Phone: 207 283-7180
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAREK HAMMOUR MD
  • NPI Number: 1831112952
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 20D0887159
LAB Type Physician Office
Facility Name MAINEHEALTH DBA SMHC HOSPITAL CAMPUS
Street 1 MEDICAL CENTER DRIVE
City BIDDEFORD
State ME
ZIP 04005
Phone 207 283-7180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director TAREK HAMMOUR MD

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