20D2069606 CLIA NUMBER - BE WELL MY FRIEND, LLC

Laboratory Demographics

  • CLIA Code: 20D2069606
  • Facility Name: BE WELL MY FRIEND, LLC
  • Facility Address: 12 SHUMAN AVE SUITE 6
    AUGUSTA, ME
    ZIP 04330
  • Facility Phone: 207 307-0958
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. DUFRESNE
  • NPI Number: 1104250158
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D2069606
LAB Type Physician Office
Facility Name BE WELL MY FRIEND, LLC
Street 12 SHUMAN AVE SUITE 6
City AUGUSTA
State ME
ZIP 04330
Phone 207 307-0958
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Physician Office
Lab Director MICHAEL D. DUFRESNE

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