20D2003858 CLIA NUMBER - DANFORTH HABILITATION ASSOCIATION

Laboratory Demographics

  • CLIA Code: 20D2003858
  • Facility Name: DANFORTH HABILITATION ASSOCIATION
  • Facility Address: 7 MAPLE STREET
    DANFORTH, ME
    ZIP 04424
  • Facility Phone: 207 448-2327
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: MS. CHANTEL A. KING
  • NPI Number: 1316187735
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D2003858
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name DANFORTH HABILITATION ASSOCIATION
Street 7 MAPLE STREET
City DANFORTH
State ME
ZIP 04424
Phone 207 448-2327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MS. CHANTEL A. KING

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