20D2198379 CLIA NUMBER - MID-MAINE HOMELESS SHELTER & SERVICES

Home > CLIA Lookup > 20D2198379

Laboratory Demographics

CLIA Number: 20D2198379

Facility Name: MID-MAINE HOMELESS SHELTER & SERVICES

Facility Address:
19 COLBY STREET
WATERVILLE, ME
ZIP 04901
Get Directions

Facility Phone Number: 207 692-4421

Facility Type: Other - HOMELESS SHELTER

Certificate Type: Waiver

NPI Number: 1194772426

Taxonomy: 1223S0112X - Dentist
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

CLIA Record

Field Name	Field Value
CLIA Number	20D2198379
LAB Type	Other - HOMELESS SHELTER
Facility Name	MID-MAINE HOMELESS SHELTER & SERVICES
Street	19 COLBY STREET
City	WATERVILLE
State	ME
ZIP	04901
Phone	207 692-4421
CertificateType	4
CertificateEffectiveDate	11/2/2022
CertificateExpirationDate	11/1/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024