20D2300959 CLIA NUMBER - DISCOVERY HOUSE WC, INC DBA AUGUSTA COMPREHENSIVE TRT CTR

Laboratory Demographics

  • CLIA Code: 20D2300959
  • Facility Name: DISCOVERY HOUSE WC, INC DBA AUGUSTA COMPREHENSIVE TRT CTR
  • Facility Address: 14 EDISON DRIVE
    AUGUSTA, ME
    ZIP 04330
  • Facility Phone: 802 299-5053
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JAMES BALDWIN
  • NPI Number: 1508617416
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2300959
LAB Type Comp. Outpatient Rehab Facility
Facility Name DISCOVERY HOUSE WC, INC DBA AUGUSTA COMPREHENSIVE TRT CTR
Street 14 EDISON DRIVE
City AUGUSTA
State ME
ZIP 04330
Phone 802 299-5053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director JAMES BALDWIN

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