20D2052833 CLIA NUMBER - HOLISTIC EINSTEIN

Laboratory Demographics

  • CLIA Code: 20D2052833
  • Facility Name: HOLISTIC EINSTEIN
  • Facility Address: 105 TENPENNY STREET
    FREEPORT, ME
    ZIP 04032
  • Facility Phone: 207 470-0499
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL P. EINSTEIN MD
  • NPI Number: 1972940351
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D2052833
LAB Type Physician Office
Facility Name HOLISTIC EINSTEIN
Street 105 TENPENNY STREET
City FREEPORT
State ME
ZIP 04032
Phone 207 470-0499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director DANIEL P. EINSTEIN MD

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