20D1084121 CLIA NUMBER - NORTHERN LIGHT MERCY HOSPITAL FORE RIVER LABORATORY

Laboratory Demographics

  • CLIA Code: 20D1084121
  • Facility Name: NORTHERN LIGHT MERCY HOSPITAL FORE RIVER LABORATORY
  • Facility Address: 175 FORE RIVER PARKWAY ATTN MARY ELLEN STONE
    PORTLAND, ME
    ZIP 04102
  • Facility Phone: 207 879-3284
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. LINDSAY WILLIAMS
  • NPI Number: 1952856759
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D1084121
LAB Type Hospital
Facility Name NORTHERN LIGHT MERCY HOSPITAL FORE RIVER LABORATORY
Street 175 FORE RIVER PARKWAY ATTN MARY ELLEN STONE
City PORTLAND
State ME
ZIP 04102
Phone 207 879-3284
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Hospital
Lab Director DR. LINDSAY WILLIAMS

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