20D0914552 CLIA NUMBER - MAINEHEALTH DBA LMP SCHOOL HEALTH CENTER DAMARISCOTTA

Laboratory Demographics

CLIA Number: 20D0914552

Facility Name: MAINEHEALTH DBA LMP SCHOOL HEALTH CENTER DAMARISCOTTA

Facility Address:
81 ACADEMY HILL
NEWCASTLE, ME
ZIP 04553
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Facility Phone Number: 207 563-3596

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1962573337

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	20D0914552
LAB Type	School/Student Health Service
Facility Name	MAINEHEALTH DBA LMP SCHOOL HEALTH CENTER DAMARISCOTTA
Street	81 ACADEMY HILL
City	NEWCASTLE
State	ME
ZIP	04553
Phone	207 563-3596
CertificateType	4
CertificateEffectiveDate	5/2/2024
CertificateExpirationDate	5/1/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024