20D2042872 CLIA NUMBER - PLASTIC & HAND SURGICAL ASSOCIATES WESTERN AVENUE DAY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 20D2042872
  • Facility Name: PLASTIC & HAND SURGICAL ASSOCIATES WESTERN AVENUE DAY SURGERY CENTER
  • Facility Address: 244 WESTERN AVE
    SOUTH PORTLAND, ME
    ZIP 04106
  • Facility Phone: 207 775-3446
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SIRISH MARDDALI
  • NPI Number: 1366453730
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D2042872
LAB Type Ambulatory Surgery Center
Facility Name PLASTIC & HAND SURGICAL ASSOCIATES WESTERN AVENUE DAY SURGERY CENTER
Street 244 WESTERN AVE
City SOUTH PORTLAND
State ME
ZIP 04106
Phone 207 775-3446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Ambulatory Surgery Center
Lab Director SIRISH MARDDALI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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