20D0956298 CLIA NUMBER - EASTERN MAINE DIALYSIS

Laboratory Demographics

  • CLIA Code: 20D0956298
  • Facility Name: EASTERN MAINE DIALYSIS
  • Facility Address: 11 SHORT STREET
    ELLSWORTH, ME
    ZIP 04605
  • Facility Phone: 207 667-9294
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Microscopy
  • Lab Director: MIHAIL SOARE MD
  • NPI Number: 1922352301
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D0956298
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EASTERN MAINE DIALYSIS
Street 11 SHORT STREET
City ELLSWORTH
State ME
ZIP 04605
Phone 207 667-9294
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 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MIHAIL SOARE MD

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