20D2175362 CLIA NUMBER - BENE ESSE INC DBA MEDI-WEIGHTLOSS OF BIDDEFORD

Laboratory Demographics

  • CLIA Code: 20D2175362
  • Facility Name: BENE ESSE INC DBA MEDI-WEIGHTLOSS OF BIDDEFORD
  • Facility Address: 28 WEST COLE ROAD, UNIT 105
    BIDDEFORD, ME
    ZIP 04005
  • Facility Phone: 207 391-4601
  • Facility Type: Other - WEIGHT LOSS CLINIC
  • Facility Type: Waiver
  • Lab Director: PHILIP ABRAHAM
  • NPI Number: 1255982856
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D2175362
LAB Type Other - WEIGHT LOSS CLINIC
Facility Name BENE ESSE INC DBA MEDI-WEIGHTLOSS OF BIDDEFORD
Street 28 WEST COLE ROAD, UNIT 105
City BIDDEFORD
State ME
ZIP 04005
Phone 207 391-4601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Other - WEIGHT LOSS CLINIC
Lab Director PHILIP ABRAHAM

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