20D2275731 CLIA NUMBER - MAINEHEALTH COMPREHENSIVE ADDICTION MEDICINE PORTLAND

Laboratory Demographics

  • CLIA Code: 20D2275731
  • Facility Name: MAINEHEALTH COMPREHENSIVE ADDICTION MEDICINE PORTLAND
  • Facility Address: 576 SAINT JOHN STREET
    PORTLAND, ME
    ZIP 04102
  • Facility Phone: 207 661-0700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTEN SILVIA
  • NPI Number: 1265536817
  • Taxonomy: 2080P0203X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 20D2275731
LAB Type Physician Office
Facility Name MAINEHEALTH COMPREHENSIVE ADDICTION MEDICINE PORTLAND
Street 576 SAINT JOHN STREET
City PORTLAND
State ME
ZIP 04102
Phone 207 661-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director KRISTEN SILVIA

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