20D2197369 CLIA NUMBER - HANCOCK COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 20D2197369
  • Facility Name: HANCOCK COUNTY JAIL
  • Facility Address: 50 STATE STREET SUITE 5
    ELLSWORTH, ME
    ZIP 04605
  • Facility Phone: 207 667-7588
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: TIMOTHY RICHARDSON
  • NPI Number: 1154375160
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 20D2197369
LAB Type Prison
Facility Name HANCOCK COUNTY JAIL
Street 50 STATE STREET SUITE 5
City ELLSWORTH
State ME
ZIP 04605
Phone 207 667-7588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Prison
Lab Director TIMOTHY RICHARDSON

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