20D2245187 CLIA NUMBER - RIDGEWOOD ESTATES

Laboratory Demographics

  • CLIA Code: 20D2245187
  • Facility Name: RIDGEWOOD ESTATES
  • Facility Address: 480 RIDGEVIEW AVE
    MADAWASKA, ME
    ZIP 04756
  • Facility Phone: 207 728-6324
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JONATHAN ROY
  • NPI Number: 1619944063
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D2245187
LAB Type Assisted Living Facility
Facility Name RIDGEWOOD ESTATES
Street 480 RIDGEVIEW AVE
City MADAWASKA
State ME
ZIP 04756
Phone 207 728-6324
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Assisted Living Facility
Lab Director JONATHAN ROY

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