20D2199089 CLIA NUMBER - INDEPENDENCE ASSOCIATION

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CLIA Record

Field Name Field Value
CLIA Number 20D2199089
LAB Type Assisted Living Facility
Facility Name INDEPENDENCE ASSOCIATION
Street 3 INDUSTRIAL PARKWAY
City BRUNSWICK
State ME
ZIP 04011
Phone 207 504-5817
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Assisted Living Facility
Lab Director RAYMOND A. NAGEL

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