20D0990501 CLIA NUMBER - NORTHWOODS GENERAL PRACTICE

Laboratory Demographics

  • CLIA Code: 20D0990501
  • Facility Name: NORTHWOODS GENERAL PRACTICE
  • Facility Address: 226 MAIN STREET
    SHERMAN MILLS, ME
    ZIP 04776
  • Facility Phone: 207 463-2400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARTIN J. HRYNICK MD
  • NPI Number: 1124483433
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 20D0990501
LAB Type Physician Office
Facility Name NORTHWOODS GENERAL PRACTICE
Street 226 MAIN STREET
City SHERMAN MILLS
State ME
ZIP 04776
Phone 207 463-2400
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 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Physician Office
Lab Director MARTIN J. HRYNICK MD

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