20D2192819 CLIA NUMBER - DHNM - NORTHERN MAINE

Laboratory Demographics

  • CLIA Code: 20D2192819
  • Facility Name: DHNM - NORTHERN MAINE
  • Facility Address: 11 NORTH STREET
    PRESQUE ISLE, ME
    ZIP 04769
  • Facility Phone: 207 707-3001
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JAMES BALDWIN
  • NPI Number: 1053918128
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2192819
LAB Type Comp. Outpatient Rehab Facility
Facility Name DHNM - NORTHERN MAINE
Street 11 NORTH STREET
City PRESQUE ISLE
State ME
ZIP 04769
Phone 207 707-3001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director JAMES BALDWIN

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