20D0996673 CLIA NUMBER - BEACON HOSPICE, LLC BEACON HOSPICE, AN AMEDISYS COMPANY

Laboratory Demographics

  • CLIA Code: 20D0996673
  • Facility Name: BEACON HOSPICE, LLC BEACON HOSPICE, AN AMEDISYS COMPANY
  • Facility Address: 52 ATLANTIC PLACE, SUITE B-50
    SOUTH PORTLAND, ME
    ZIP 04106
  • Facility Phone: 207 772-0929
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HEATHER PRICE
  • NPI Number: 1437236551
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 20D0996673
LAB Type Hospice
Facility Name BEACON HOSPICE, LLC BEACON HOSPICE, AN AMEDISYS COMPANY
Street 52 ATLANTIC PLACE, SUITE B-50
City SOUTH PORTLAND
State ME
ZIP 04106
Phone 207 772-0929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Hospice
Lab Director HEATHER PRICE

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