20D2137914 CLIA NUMBER - MAINE EYE CENTER, PA

Laboratory Demographics

  • CLIA Code: 20D2137914
  • Facility Name: MAINE EYE CENTER, PA
  • Facility Address: 161 MARGINAL WAY
    PORTLAND, ME
    ZIP 04101
  • Facility Phone: 207 523-5677
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD BAZARIAN
  • NPI Number: 1295855948
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2137914
LAB Type Ambulatory Surgery Center
Facility Name MAINE EYE CENTER, PA
Street 161 MARGINAL WAY
City PORTLAND
State ME
ZIP 04101
Phone 207 523-5677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Ambulatory Surgery Center
Lab Director RICHARD BAZARIAN

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