20D2142416 CLIA NUMBER - CONSTELLATION HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 20D2142416
  • Facility Name: CONSTELLATION HEALTH SERVICES
  • Facility Address: 323 STATE ST SUITE 5
    AUGUSTA, ME
    ZIP 04330
  • Facility Phone: 207 370-6470
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DAWN GUPTILL
  • NPI Number: 1518405323
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 20D2142416
LAB Type Hospice
Facility Name CONSTELLATION HEALTH SERVICES
Street 323 STATE ST SUITE 5
City AUGUSTA
State ME
ZIP 04330
Phone 207 370-6470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Hospice
Lab Director DAWN GUPTILL

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