20D1100879 CLIA NUMBER - COR HEALTH SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 20D1100879
  • Facility Name: COR HEALTH SERVICES, LLC
  • Facility Address: 980 FORREST AVE, SUITE 207
    PORTLAND, ME
    ZIP 04103
  • Facility Phone: 207 347-6106
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PAUL J. MCMULLAN
  • NPI Number: 1700277670
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 20D1100879
LAB Type Home Health Agency
Facility Name COR HEALTH SERVICES, LLC
Street 980 FORREST AVE, SUITE 207
City PORTLAND
State ME
ZIP 04103
Phone 207 347-6106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Home Health Agency
Lab Director PAUL J. MCMULLAN

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