20D2248178 CLIA NUMBER - MAINE COMMUNITY INTEGRATION

Laboratory Demographics

  • CLIA Code: 20D2248178
  • Facility Name: MAINE COMMUNITY INTEGRATION
  • Facility Address: 11 LISBON STREET
    LEWISTON, ME
    ZIP 04240
  • Facility Phone: 207 777-4765
  • Facility Type: Other - PUBLIC NONPROFIT
  • Facility Type: Waiver
  • Lab Director: FOWSIA MUSSE
  • NPI Number: 1144845207
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 20D2248178
LAB Type Other - PUBLIC NONPROFIT
Facility Name MAINE COMMUNITY INTEGRATION
Street 11 LISBON STREET
City LEWISTON
State ME
ZIP 04240
Phone 207 777-4765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Other - PUBLIC NONPROFIT
Lab Director FOWSIA MUSSE

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