20D2245183 CLIA NUMBER - CROSSWINDS RESIDENTIAL CARE

Laboratory Demographics

  • CLIA Code: 20D2245183
  • Facility Name: CROSSWINDS RESIDENTIAL CARE
  • Facility Address: 40 VILLAGE ROAD
    FORT KENT, ME
    ZIP 04743
  • Facility Phone: (207) 834-3701
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JONATHAN ROY
  • NPI Number: 1982876009
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D2245183
LAB Type Assisted Living Facility
Facility Name CROSSWINDS RESIDENTIAL CARE
Street 40 VILLAGE ROAD
City FORT KENT
State ME
ZIP 04743
Phone 2078343701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2025
Certificate Expiration Date 12/8/2027
Facility Type Assisted Living Facility
Lab Director JONATHAN ROY

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This page was last updated on: 5/18/2026