20D2183000 CLIA NUMBER - FREEPORT PLACE

Laboratory Demographics

  • CLIA Code: 20D2183000
  • Facility Name: FREEPORT PLACE
  • Facility Address: 4 OLD COUNTRY ROAD
    FREEPORT, ME
    ZIP 04032
  • Facility Phone: 207 865-3500
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ERIC S. POOLER
  • NPI Number: 1497997233
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D2183000
LAB Type Assisted Living Facility
Facility Name FREEPORT PLACE
Street 4 OLD COUNTRY ROAD
City FREEPORT
State ME
ZIP 04032
Phone 207 865-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Assisted Living Facility
Lab Director ERIC S. POOLER

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