20D2251436 CLIA NUMBER - COLD RIVER HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 20D2251436
  • Facility Name: COLD RIVER HEALTH, LLC
  • Facility Address: 567 MAIN ST
    LOVELL, ME
    ZIP 04051
  • Facility Phone: 207 200-4329
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CANDICE A. MCELROY
  • NPI Number: 1871256941
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2251436
LAB Type Physician Office
Facility Name COLD RIVER HEALTH, LLC
Street 567 MAIN ST
City LOVELL
State ME
ZIP 04051
Phone 207 200-4329
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director CANDICE A. MCELROY

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