20D1085309 CLIA NUMBER - AMEDISYS MAINE PLLC DBA AMEDISYS HOME HEALTH

Laboratory Demographics

  • CLIA Code: 20D1085309
  • Facility Name: AMEDISYS MAINE PLLC DBA AMEDISYS HOME HEALTH
  • Facility Address: 1685 CONGRESS STREET SUITE 100
    PORTLAND, ME
    ZIP 04102
  • Facility Phone: 207 772-7520
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BRENDA DILE
  • NPI Number: 1366617680
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 20D1085309
LAB Type Home Health Agency
Facility Name AMEDISYS MAINE PLLC DBA AMEDISYS HOME HEALTH
Street 1685 CONGRESS STREET SUITE 100
City PORTLAND
State ME
ZIP 04102
Phone 207 772-7520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Home Health Agency
Lab Director BRENDA DILE

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