20D2129424 CLIA NUMBER - DISCOVERY HOUSE - BANGOR

Laboratory Demographics

  • CLIA Code: 20D2129424
  • Facility Name: DISCOVERY HOUSE - BANGOR
  • Facility Address: 689 ODLIN ROAD
    BANGOR, ME
    ZIP 04401
  • Facility Phone: 207 947-6800
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: BRENT MILLER
  • NPI Number: 1285827527
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2129424
LAB Type Comp. Outpatient Rehab Facility
Facility Name DISCOVERY HOUSE - BANGOR
Street 689 ODLIN ROAD
City BANGOR
State ME
ZIP 04401
Phone 207 947-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director BRENT MILLER

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