20D0986980 CLIA NUMBER - BANGOR VA CLINIC

Laboratory Demographics

  • CLIA Code: 20D0986980
  • Facility Name: BANGOR VA CLINIC
  • Facility Address: 304 HANCOCK ST
    BANGOR, ME
    ZIP 04401
  • Facility Phone: 207 623-8411
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: KATHERINE WATERS
  • NPI Number: 1033160064
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D0986980
LAB Type Community Clinic
Facility Name BANGOR VA CLINIC
Street 304 HANCOCK ST
City BANGOR
State ME
ZIP 04401
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

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