20D2269405 CLIA NUMBER - BISHOP HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 20D2269405
  • Facility Name: BISHOP HEALTH, LLC
  • Facility Address: 100 GANNETT DRIVE STE A
    PORTLAND, ME
    ZIP 04106
  • Facility Phone: 207 742-8558
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: TAMER WASSEF
  • NPI Number: 1144976986
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 20D2269405
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BISHOP HEALTH, LLC
Street 100 GANNETT DRIVE STE A
City PORTLAND
State ME
ZIP 04106
Phone 207 742-8558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director TAMER WASSEF

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