20D2001621 CLIA NUMBER - CRAWFORD COMMONS

Laboratory Demographics

  • CLIA Code: 20D2001621
  • Facility Name: CRAWFORD COMMONS
  • Facility Address: 132 MIDDLE ROAD
    UNION, ME
    ZIP 04862
  • Facility Phone: 207 785-4419
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HOLLY GALLANT
  • NPI Number: 1649247081
  • Taxonomy: 310400000X - Assisted Living Facility

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Assisted Living Facility
Lab Director HOLLY GALLANT

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