20D2288558 CLIA NUMBER - BREAKWATER COMMONS

Laboratory Demographics

  • CLIA Code: 20D2288558
  • Facility Name: BREAKWATER COMMONS
  • Facility Address: 100 COMMONS DRIVE
    ROCKLAND, ME
    ZIP 04841
  • Facility Phone: 207 466-8788
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CAITLIN M. KING
  • NPI Number: 1285315010
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D2288558
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BREAKWATER COMMONS
Street 100 COMMONS DRIVE
City ROCKLAND
State ME
ZIP 04841
Phone 207 466-8788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CAITLIN M. KING

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