20D2160205 CLIA NUMBER - CORNERSTONE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 20D2160205
  • Facility Name: CORNERSTONE FAMILY PRACTICE
  • Facility Address: 17 FOUNDERS STREET
    PATTEN, ME
    ZIP 04765
  • Facility Phone: 207 922-9102
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROSE M. FUCHS MD
  • NPI Number: 1780156117
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D2160205
LAB Type Physician Office
Facility Name CORNERSTONE FAMILY PRACTICE
Street 17 FOUNDERS STREET
City PATTEN
State ME
ZIP 04765
Phone 207 922-9102
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director ROSE M. FUCHS MD

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