20D1027625 CLIA NUMBER - LINCOLN LAKES REGIONAL DIALYSIS

Laboratory Demographics

  • CLIA Code: 20D1027625
  • Facility Name: LINCOLN LAKES REGIONAL DIALYSIS
  • Facility Address: 250 ENFIELD ROAD
    LINCOLN, ME
    ZIP 04457
  • Facility Phone: 207 794-6095
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MANISH NEPAL MD
  • NPI Number: 1346594769
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D1027625
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LINCOLN LAKES REGIONAL DIALYSIS
Street 250 ENFIELD ROAD
City LINCOLN
State ME
ZIP 04457
Phone 207 794-6095
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MANISH NEPAL MD

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