20D2205203 CLIA NUMBER - CASA, INC

Laboratory Demographics

  • CLIA Code: 20D2205203
  • Facility Name: CASA, INC
  • Facility Address: 741 WARREN AVE
    PORTLAND, ME
    ZIP 04103
  • Facility Phone: 207 879-6165
  • Facility Type: Other - RESIDENTIAL CARE
  • Facility Type: Waiver
  • Lab Director: ANNE D. WALP
  • NPI Number: 1104106947
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 20D2205203
LAB Type Other - RESIDENTIAL CARE
Facility Name CASA, INC
Street 741 WARREN AVE
City PORTLAND
State ME
ZIP 04103
Phone 207 879-6165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Other - RESIDENTIAL CARE
Lab Director ANNE D. WALP

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