20D2191852 CLIA NUMBER - PRESQUE ISLE HEALTHCARE CENTER

Laboratory Demographics

CLIA Code: 20D2191852
Facility Name: PRESQUE ISLE HEALTHCARE CENTER
Facility Address: 15 HIGHLAND AVENUE
MARS HILL, ME
ZIP 04758
Facility Phone: 207 768-4915
Facility Type: Skilled Nursing Facility/Nursing Facility
Facility Type: Waiver
Lab Director: MELISSA CARLSON
NPI Number: 1831311968
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	20D2191852
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	PRESQUE ISLE HEALTHCARE CENTER
Street	15 HIGHLAND AVENUE
City	MARS HILL
State	ME
ZIP	04758
Phone	207 768-4915
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	9/2/2024
Certificate Expiration Date	9/1/2026
Facility Type	Skilled Nursing Facility/Nursing Facility
Lab Director	MELISSA CARLSON

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