20D2239410 CLIA NUMBER - SPURWINK ADULT PROGRAM

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CLIA Record

Field Name Field Value
CLIA Number 20D2239410
LAB Type Home Health Agency
Facility Name SPURWINK ADULT PROGRAM
Street 901 WASHINGTON AVE
City PORTLAND
State ME
ZIP 04103
Phone 207 871-1211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Home Health Agency
Lab Director ROSALBA GRAHAM

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