20D1071967 CLIA NUMBER - BEACON HOSPICE, LLC DBA BEACON HOSPICE, AN AMEDISYS COMPANY

Laboratory Demographics

  • CLIA Code: 20D1071967
  • Facility Name: BEACON HOSPICE, LLC DBA BEACON HOSPICE, AN AMEDISYS COMPANY
  • Facility Address: 1026 STILLWATER AVENUE
    BANGOR, ME
    ZIP 04401
  • Facility Phone: 207 942-2920
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HEATHER PRICE
  • NPI Number: 1245444280
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 20D1071967
LAB Type Hospice
Facility Name BEACON HOSPICE, LLC DBA BEACON HOSPICE, AN AMEDISYS COMPANY
Street 1026 STILLWATER AVENUE
City BANGOR
State ME
ZIP 04401
Phone 207 942-2920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Hospice
Lab Director HEATHER PRICE

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