20D2247589 CLIA NUMBER - SARAH FRYE HOME

Laboratory Demographics

  • CLIA Code: 20D2247589
  • Facility Name: SARAH FRYE HOME
  • Facility Address: 751 WASHINGTON STREET, NORTH
    AUBURN, ME
    ZIP 04210
  • Facility Phone: 207 754-7242
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: VIVIAN BLACK
  • NPI Number: 1568601953
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D2247589
LAB Type Assisted Living Facility
Facility Name SARAH FRYE HOME
Street 751 WASHINGTON STREET, NORTH
City AUBURN
State ME
ZIP 04210
Phone 207 754-7242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Assisted Living Facility
Lab Director VIVIAN BLACK

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