20D2149223 CLIA NUMBER - MAINE URGENT CARE, LLC

Laboratory Demographics

CLIA Number: 20D2149223

Facility Name: MAINE URGENT CARE, LLC

Facility Address:
105 TOPSHAM FAIR MALL ROAD, STE 8 ATTN JAMIE BEAN
TOPSHAM, ME
ZIP 04086
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Facility Phone Number: 207 798-6333

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1417446121

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	20D2149223
LAB Type	Other - URGENT CARE
Facility Name	MAINE URGENT CARE, LLC
Street	105 TOPSHAM FAIR MALL ROAD, STE 8 ATTN JAMIE BEAN
City	TOPSHAM
State	ME
ZIP	04086
Phone	207 798-6333
CertificateType	4
CertificateEffectiveDate	5/29/2022
CertificateExpirationDate	5/28/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024