20D1084222 CLIA NUMBER - MAINEHEALTH MEDICAL GROUP MIDCOAST PRACTICES

Laboratory Demographics

  • CLIA Code: 20D1084222
  • Facility Name: MAINEHEALTH MEDICAL GROUP MIDCOAST PRACTICES
  • Facility Address: 108 CENTRE ST
    BATH, ME
    ZIP 04530
  • Facility Phone: 207 386-1800
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MICHAEL P. MADAIO
  • NPI Number: 1396726501
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D1084222
LAB Type School/Student Health Service
Facility Name MAINEHEALTH MEDICAL GROUP MIDCOAST PRACTICES
Street 108 CENTRE ST
City BATH
State ME
ZIP 04530
Phone 207 386-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type School/Student Health Service
Lab Director MICHAEL P. MADAIO

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