20D2160499 CLIA NUMBER - MAINE COMPREHENSIVE PAIN MANAGEMENT, PC

Laboratory Demographics

  • CLIA Code: 20D2160499
  • Facility Name: MAINE COMPREHENSIVE PAIN MANAGEMENT, PC
  • Facility Address: 400 ENTERPRISE DR, STE 101
    SCARBOROUGH, ME
    ZIP 04074
  • Facility Phone: 860 944-4708
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERENCE K. GRAY DO
  • NPI Number: 1467928705
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2160499
LAB Type Physician Office
Facility Name MAINE COMPREHENSIVE PAIN MANAGEMENT, PC
Street 400 ENTERPRISE DR, STE 101
City SCARBOROUGH
State ME
ZIP 04074
Phone 860 944-4708
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Physician Office
Lab Director TERENCE K. GRAY DO

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