20D1010686 CLIA NUMBER - DCI SKOWHEGAN

Laboratory Demographics

  • CLIA Code: 20D1010686
  • Facility Name: DCI SKOWHEGAN
  • Facility Address: 27 RESEARCH DRIVE
    SKOWHEGAN, ME
    ZIP 04976
  • Facility Phone: 207 474-6002
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: GARY DIPERNA
  • NPI Number: 1225061708
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D1010686
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DCI SKOWHEGAN
Street 27 RESEARCH DRIVE
City SKOWHEGAN
State ME
ZIP 04976
Phone 207 474-6002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director GARY DIPERNA

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