20D2198766 CLIA NUMBER - GOOD WILL HINCKLEY

Laboratory Demographics

  • CLIA Code: 20D2198766
  • Facility Name: GOOD WILL HINCKLEY
  • Facility Address: 16 PAGE TERRACE
    HINCKLEY, ME
    ZIP 04944
  • Facility Phone: 207 238-4312
  • Facility Type: Other - GROUP HOME
  • Facility Type: Waiver
  • Lab Director: IBBITSON K. BRITTNEY
  • NPI Number: 1013450097
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 20D2198766
LAB Type Other - GROUP HOME
Facility Name GOOD WILL HINCKLEY
Street 16 PAGE TERRACE
City HINCKLEY
State ME
ZIP 04944
Phone 207 238-4312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Other - GROUP HOME
Lab Director IBBITSON K. BRITTNEY

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