20D1050279 CLIA NUMBER - MAINE MOBILE HEALTH PROGRAM

Laboratory Demographics

  • CLIA Code: 20D1050279
  • Facility Name: MAINE MOBILE HEALTH PROGRAM
  • Facility Address: 9 GREEN STREET
    AUGUSTA, ME
    ZIP 04330
  • Facility Phone: 207 622-9252
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: CHERYL K. SEYMOUR MD
  • NPI Number: 1376829598
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D1050279
LAB Type Federally Qualified Health Center
Facility Name MAINE MOBILE HEALTH PROGRAM
Street 9 GREEN STREET
City AUGUSTA
State ME
ZIP 04330
Phone 207 622-9252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Federally Qualified Health Center
Lab Director CHERYL K. SEYMOUR MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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