20D2167566 CLIA NUMBER - WELLNESS FOR WOMEN

Laboratory Demographics

CLIA Number: 20D2167566

Facility Name: WELLNESS FOR WOMEN

Facility Address:
50 PORTLAND ROAD
KENNEBUNK, ME
ZIP 04043
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Facility Phone Number: 207 467-5588

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1205495793

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	20D2167566
LAB Type	Physician Office
Facility Name	WELLNESS FOR WOMEN
Street	50 PORTLAND ROAD
City	KENNEBUNK
State	ME
ZIP	04043
Phone	207 467-5588
CertificateType	3
CertificateEffectiveDate	6/11/2023
CertificateExpirationDate	6/10/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024