20D1010686 CLIA NUMBER - DIALYSIS CLINIC INC

Laboratory Demographics

CLIA Number: 20D1010686

Facility Name: DIALYSIS CLINIC INC

Facility Address:
27 RESEARCH DRIVE PO BOX 2231
SKOWHEGAN, ME
ZIP 04976
Get Directions

Facility Phone Number: 207 474-6002

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1225061708

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	20D1010686
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DIALYSIS CLINIC INC
Street	27 RESEARCH DRIVE PO BOX 2231
City	SKOWHEGAN
State	ME
ZIP	04976
Phone	207 474-6002
CertificateType	4
CertificateEffectiveDate	3/20/2023
CertificateExpirationDate	3/19/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024