20D1033128 CLIA NUMBER - FULL CIRCLE HEALTH CARE LLC

Laboratory Demographics

  • CLIA Code: 20D1033128
  • Facility Name: FULL CIRCLE HEALTH CARE LLC
  • Facility Address: 169 ACADEMY STREET, STE C
    PRESQUE ISLE, ME
    ZIP 04769
  • Facility Phone: 207 764-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTORIA E. GROVER
  • NPI Number: 1518256155
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D1033128
LAB Type Physician Office
Facility Name FULL CIRCLE HEALTH CARE LLC
Street 169 ACADEMY STREET, STE C
City PRESQUE ISLE
State ME
ZIP 04769
Phone 207 764-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director VICTORIA E. GROVER

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