20D2158020 CLIA NUMBER - AWARE RECOVERY CARE OF MAINE

Laboratory Demographics

  • CLIA Code: 20D2158020
  • Facility Name: AWARE RECOVERY CARE OF MAINE
  • Facility Address: 500 SOUTHBOROUGH DR, STE 205
    SOUTH PORTLAND, ME
    ZIP 04106
  • Facility Phone: 203 779-5799
  • Facility Type: Other - IN-HOME ADDICTION TRMTT
  • Facility Type: Waiver
  • Lab Director: LAUREN GRAWERT
  • NPI Number: 1326444290
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 20D2158020
LAB Type Other - IN-HOME ADDICTION TRMTT
Facility Name AWARE RECOVERY CARE OF MAINE
Street 500 SOUTHBOROUGH DR, STE 205
City SOUTH PORTLAND
State ME
ZIP 04106
Phone 203 779-5799
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Other - IN-HOME ADDICTION TRMTT
Lab Director LAUREN GRAWERT

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