20D2238771 CLIA NUMBER - COASTAL SHORES

Laboratory Demographics

  • CLIA Code: 20D2238771
  • Facility Name: COASTAL SHORES
  • Facility Address: 142 NEPTUNE DRIVE
    BRUNSWICK, ME
    ZIP 04011
  • Facility Phone: 207 725-5801
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DOROTHY CHUBBUCK
  • NPI Number: 1710164611
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D2238771
LAB Type Assisted Living Facility
Facility Name COASTAL SHORES
Street 142 NEPTUNE DRIVE
City BRUNSWICK
State ME
ZIP 04011
Phone 207 725-5801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Assisted Living Facility
Lab Director DOROTHY CHUBBUCK

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