20D2163258 CLIA NUMBER - POULIN & ASSOCIATES EYE CENTER

Laboratory Demographics

  • CLIA Code: 20D2163258
  • Facility Name: POULIN & ASSOCIATES EYE CENTER
  • Facility Address: 166 SILVER STREET
    WATERVILLE, ME
    ZIP 04901
  • Facility Phone: 207 873-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRENDA CLEMENTS
  • NPI Number: 1336243963
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 20D2163258
LAB Type Physician Office
Facility Name POULIN & ASSOCIATES EYE CENTER
Street 166 SILVER STREET
City WATERVILLE
State ME
ZIP 04901
Phone 207 873-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director BRENDA CLEMENTS

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