20D2001621 CLIA NUMBER - CRAWFORD COMMONS

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Laboratory Demographics

CLIA Number: 20D2001621

Facility Name: CRAWFORD COMMONS

Facility Address:
132 MIDDLE ROAD
UNION, ME
ZIP 04862
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Facility Phone Number: 207 785-4419

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1649247081

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	20D2001621
LAB Type	Assisted Living Facility
Facility Name	CRAWFORD COMMONS
Street	132 MIDDLE ROAD
City	UNION
State	ME
ZIP	04862
Phone	207 785-4419
CertificateType	4
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024