20D0928589 CLIA NUMBER - NORTHERN LIGHT CA DEAN HOSPITAL

Laboratory Demographics

  • CLIA Code: 20D0928589
  • Facility Name: NORTHERN LIGHT CA DEAN HOSPITAL
  • Facility Address: 364 PRITHAM AVE
    GREENVILLE, ME
    ZIP 04441
  • Facility Phone: 207 695-5229
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: CHELSEY GRACIA
  • NPI Number: 1265441323
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D0928589
LAB Type Hospital
Facility Name NORTHERN LIGHT CA DEAN HOSPITAL
Street 364 PRITHAM AVE
City GREENVILLE
State ME
ZIP 04441
Phone 207 695-5229
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Hospital
Lab Director CHELSEY GRACIA

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