20D2296205 CLIA NUMBER - CORECOVER

Laboratory Demographics

  • CLIA Code: 20D2296205
  • Facility Name: CORECOVER
  • Facility Address: 10 ATLANTIC PLACE
    SOUTH PORTLAND, ME
    ZIP 04106
  • Facility Phone: 207 482-0276
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: EDWARD J. BILOTTI
  • NPI Number: 1386153112
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 20D2296205
LAB Type Practitioner Other
Facility Name CORECOVER
Street 10 ATLANTIC PLACE
City SOUTH PORTLAND
State ME
ZIP 04106
Phone 207 482-0276
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Practitioner Other
Lab Director EDWARD J. BILOTTI

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