20D2192689 CLIA NUMBER - MAINE VETERANS HOME MACHIAS

Laboratory Demographics

  • CLIA Code: 20D2192689
  • Facility Name: MAINE VETERANS HOME MACHIAS
  • Facility Address: 32 VETERANS WAY
    MACHIAS, ME
    ZIP 04654
  • Facility Phone: 207 255-0162
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOHN F. GADDIS DO
  • NPI Number: 1003881939
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D2192689
LAB Type Assisted Living Facility
Facility Name MAINE VETERANS HOME MACHIAS
Street 32 VETERANS WAY
City MACHIAS
State ME
ZIP 04654
Phone 207 255-0162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Assisted Living Facility
Lab Director JOHN F. GADDIS DO

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