20D0955413 CLIA NUMBER - CENTRAL MAINE EYE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 20D0955413
  • Facility Name: CENTRAL MAINE EYE SURGERY CENTER, LLC
  • Facility Address: 249 MAIN STREET
    LEWISTON, ME
    ZIP 04240
  • Facility Phone: 207 783-9653
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN LONSDALE
  • NPI Number: 1568967131
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D0955413
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL MAINE EYE SURGERY CENTER, LLC
Street 249 MAIN STREET
City LEWISTON
State ME
ZIP 04240
Phone 207 783-9653
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Ambulatory Surgery Center
Lab Director JOHN LONSDALE

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This page was last updated on: 6/4/2025