20D2154482 CLIA NUMBER - MAINEHEALTH BEHAVIORAL HEALTHCARE

Laboratory Demographics

  • CLIA Code: 20D2154482
  • Facility Name: MAINEHEALTH BEHAVIORAL HEALTHCARE
  • Facility Address: 165 LANCASTER STREET
    PORTLAND, ME
    ZIP 04101
  • Facility Phone: 207 205-4514
  • Facility Type: Other - BEHAVIORAL HEALTH CLINICS
  • Facility Type: Waiver
  • Lab Director: JEAN T. BINETTE
  • NPI Number: 1891733309
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2154482
LAB Type Other - BEHAVIORAL HEALTH CLINICS
Facility Name MAINEHEALTH BEHAVIORAL HEALTHCARE
Street 165 LANCASTER STREET
City PORTLAND
State ME
ZIP 04101
Phone 207 205-4514
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Other - BEHAVIORAL HEALTH CLINICS
Lab Director JEAN T. BINETTE

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