20D1013348 CLIA NUMBER - MAINEHEALTH DBA GREGORY WING OF SAINT ANDREWS VILLAGE

Laboratory Demographics

  • CLIA Code: 20D1013348
  • Facility Name: MAINEHEALTH DBA GREGORY WING OF SAINT ANDREWS VILLAGE
  • Facility Address: 145 EMERY LANE ATTN CHERYL DAY
    BOOTHBAY HARBOR, ME
    ZIP 04538
  • Facility Phone: 207 633-0920
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHERYL DAY
  • NPI Number: 1528151065
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D1013348
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAINEHEALTH DBA GREGORY WING OF SAINT ANDREWS VILLAGE
Street 145 EMERY LANE ATTN CHERYL DAY
City BOOTHBAY HARBOR
State ME
ZIP 04538
Phone 207 633-0920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHERYL DAY

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