20D0931189 CLIA NUMBER - EASTERN MAINE HEALTHCARE MALL

Laboratory Demographics

  • CLIA Code: 20D0931189
  • Facility Name: EASTERN MAINE HEALTHCARE MALL
  • Facility Address: 895 UNION ST, STE 12
    BANGOR, ME
    ZIP 04401
  • Facility Phone: 207 973-7334
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: DR. SARAH IRVING
  • NPI Number: 1013314483
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 20D0931189
LAB Type Hospital
Facility Name EASTERN MAINE HEALTHCARE MALL
Street 895 UNION ST, STE 12
City BANGOR
State ME
ZIP 04401
Phone 207 973-7334
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Hospital
Lab Director DR. SARAH IRVING

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