20D2285281 CLIA NUMBER - INTERMED HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 20D2285281
  • Facility Name: INTERMED HEALTH CLINIC
  • Facility Address: 5 CAMPUS DRIVE
    FREEPORT, ME
    ZIP 04033
  • Facility Phone: 207 552-7453
  • Facility Type: Other - OCCUPATIONAL HEALTH
  • Facility Type: Waiver
  • Lab Director: DOUGLAS AIKEN
  • NPI Number: 1578952446
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 20D2285281
LAB Type Other - OCCUPATIONAL HEALTH
Facility Name INTERMED HEALTH CLINIC
Street 5 CAMPUS DRIVE
City FREEPORT
State ME
ZIP 04033
Phone 207 552-7453
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Other - OCCUPATIONAL HEALTH
Lab Director DOUGLAS AIKEN

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