20D1101341 CLIA NUMBER - AMEDISYS MAINE PLLC DBA AMEDISYS HOME HEALTH

Laboratory Demographics

  • CLIA Code: 20D1101341
  • Facility Name: AMEDISYS MAINE PLLC DBA AMEDISYS HOME HEALTH
  • Facility Address: 1028 STILLWATER AVENUE
    BANGOR, ME
    ZIP 04401
  • Facility Phone: 207 990-0029
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BRENDA DILE
  • NPI Number: 1316171796
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 20D1101341
LAB Type Home Health Agency
Facility Name AMEDISYS MAINE PLLC DBA AMEDISYS HOME HEALTH
Street 1028 STILLWATER AVENUE
City BANGOR
State ME
ZIP 04401
Phone 207 990-0029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Home Health Agency
Lab Director BRENDA DILE

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