20D2168698 CLIA NUMBER - CORNERSTONE BEHAVIORAL HEALTHCARE

Laboratory Demographics

  • CLIA Code: 20D2168698
  • Facility Name: CORNERSTONE BEHAVIORAL HEALTHCARE
  • Facility Address: 157 PARK STREET, STE 21
    BANGOR, ME
    ZIP 04401
  • Facility Phone: 207 992-0410
  • Facility Type: Other - MENTAL HEALTH AGENCY
  • Facility Type: Waiver
  • Lab Director: FRANK WILLARD
  • NPI Number: 1215102850
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 20D2168698
LAB Type Other - MENTAL HEALTH AGENCY
Facility Name CORNERSTONE BEHAVIORAL HEALTHCARE
Street 157 PARK STREET, STE 21
City BANGOR
State ME
ZIP 04401
Phone 207 992-0410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Other - MENTAL HEALTH AGENCY
Lab Director FRANK WILLARD

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