20D2266090 CLIA NUMBER - MAINEHEALTH BEHAVIORAL HEALTH SUBSTANCE USE TREATMENT

Laboratory Demographics

  • CLIA Code: 20D2266090
  • Facility Name: MAINEHEALTH BEHAVIORAL HEALTH SUBSTANCE USE TREATMENT
  • Facility Address: 66 BARIBEAU DR
    BRUNSWICK, ME
    ZIP 04011
  • Facility Phone: 207 373-6950
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LEAH BAUER
  • NPI Number: 1023377140
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 20D2266090
LAB Type Practitioner Other
Facility Name MAINEHEALTH BEHAVIORAL HEALTH SUBSTANCE USE TREATMENT
Street 66 BARIBEAU DR
City BRUNSWICK
State ME
ZIP 04011
Phone 207 373-6950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Practitioner Other
Lab Director LEAH BAUER

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