20D2007794 CLIA NUMBER - LEWISTON AUBURN VA CLINIC

Laboratory Demographics

  • CLIA Code: 20D2007794
  • Facility Name: LEWISTON AUBURN VA CLINIC
  • Facility Address: 15 CHALLENGER DRIVE
    LEWISTON, ME
    ZIP 04240
  • Facility Phone: 207 623-8411
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: KATHERINE WATERS
  • NPI Number: 1972580850
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 20D2007794
LAB Type Community Clinic
Facility Name LEWISTON AUBURN VA CLINIC
Street 15 CHALLENGER DRIVE
City LEWISTON
State ME
ZIP 04240
Phone 207 623-8411
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/26/2010
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director KATHERINE WATERS

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