20D2192699 CLIA NUMBER - MAINE VETERANS HOME BANGOR

Laboratory Demographics

  • CLIA Code: 20D2192699
  • Facility Name: MAINE VETERANS HOME BANGOR
  • Facility Address: 44 HOGAN ROAD
    BANGOR, ME
    ZIP 04401
  • Facility Phone: 207 942-2333
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MEGAN DEROSIER DO
  • NPI Number: 1861466690
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D2192699
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAINE VETERANS HOME BANGOR
Street 44 HOGAN ROAD
City BANGOR
State ME
ZIP 04401
Phone 207 942-2333
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 Skilled Nursing Facility/Nursing Facility
Lab Director MEGAN DEROSIER DO

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