20D2166064 CLIA NUMBER - MAINEHEALTH ADULT SPECIALTY CARE GILMAN ST PORTLAND

Laboratory Demographics

  • CLIA Code: 20D2166064
  • Facility Name: MAINEHEALTH ADULT SPECIALTY CARE GILMAN ST PORTLAND
  • Facility Address: 48 GILMAN STREET
    PORTLAND, ME
    ZIP 04102
  • Facility Phone: 207 664-4400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN RAWLINGS
  • NPI Number: 1053647024
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 20D2166064
LAB Type Physician Office
Facility Name MAINEHEALTH ADULT SPECIALTY CARE GILMAN ST PORTLAND
Street 48 GILMAN STREET
City PORTLAND
State ME
ZIP 04102
Phone 207 664-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Physician Office
Lab Director STEPHEN RAWLINGS

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