20D0953619 CLIA NUMBER - SENIORS/DOMESTICS HOME CARE AGENCY

Laboratory Demographics

  • CLIA Code: 20D0953619
  • Facility Name: SENIORS/DOMESTICS HOME CARE AGENCY
  • Facility Address: 31 MAPLE STREET
    PRESQUE ISLE, ME
    ZIP 04769
  • Facility Phone: 207 764-5232
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BLOSSOM CYR
  • NPI Number: 1669616900
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 20D0953619
LAB Type Home Health Agency
Facility Name SENIORS/DOMESTICS HOME CARE AGENCY
Street 31 MAPLE STREET
City PRESQUE ISLE
State ME
ZIP 04769
Phone 207 764-5232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Home Health Agency
Lab Director BLOSSOM CYR

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