20D0986979 CLIA NUMBER - PRESQUE ISLE VA CLINIC

Laboratory Demographics

  • CLIA Code: 20D0986979
  • Facility Name: PRESQUE ISLE VA CLINIC
  • Facility Address: 732 MAINE STREET
    PRESQUE ISLE, ME
    ZIP 04769
  • Facility Phone: 207 623-8411
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: KATHERINE WATERS
  • NPI Number: 1518283126
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D0986979
LAB Type Community Clinic
Facility Name PRESQUE ISLE VA CLINIC
Street 732 MAINE STREET
City PRESQUE ISLE
State ME
ZIP 04769
Phone 207 623-8411
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/24/2001
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director KATHERINE WATERS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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