20D1018557 CLIA NUMBER - FULL CIRCLE DIRECT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 20D1018557
  • Facility Name: FULL CIRCLE DIRECT PRIMARY CARE
  • Facility Address: 68 CHAPMAN STREET
    DAMARISCOTTA, ME
    ZIP 04543
  • Facility Phone: 207 563-6616
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MINDA J. GOLD MD
  • NPI Number: 1649714742
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D1018557
LAB Type Physician Office
Facility Name FULL CIRCLE DIRECT PRIMARY CARE
Street 68 CHAPMAN STREET
City DAMARISCOTTA
State ME
ZIP 04543
Phone 207 563-6616
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 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director MINDA J. GOLD MD

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