20D2163546 CLIA NUMBER - GROUPS - RECOVER TOGETHER

Laboratory Demographics

  • CLIA Code: 20D2163546
  • Facility Name: GROUPS - RECOVER TOGETHER
  • Facility Address: 849 STILLWATER AVE
    BANGOR, ME
    ZIP 04401
  • Facility Phone: 917 335-2215
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JOAN DENCKLA
  • NPI Number: 1891102497
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2163546
LAB Type Community Clinic
Facility Name GROUPS - RECOVER TOGETHER
Street 849 STILLWATER AVE
City BANGOR
State ME
ZIP 04401
Phone 917 335-2215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Community Clinic
Lab Director JOAN DENCKLA

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