20D2106974 CLIA NUMBER - MAINEHEALTH SKIN AND SURGICAL SKIN CENTER ROCKPORT

Laboratory Demographics

  • CLIA Code: 20D2106974
  • Facility Name: MAINEHEALTH SKIN AND SURGICAL SKIN CENTER ROCKPORT
  • Facility Address: 8 WELLNESS AVE
    ROCKPORT, ME
    ZIP 04856
  • Facility Phone: 207 301-8480
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRUCE HOEKSTRA
  • NPI Number: 1396815106
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2106974
LAB Type Physician Office
Facility Name MAINEHEALTH SKIN AND SURGICAL SKIN CENTER ROCKPORT
Street 8 WELLNESS AVE
City ROCKPORT
State ME
ZIP 04856
Phone 207 301-8480
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Physician Office
Lab Director BRUCE HOEKSTRA

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