20D2301159 CLIA NUMBER - PORTLAND TREATMENT

Laboratory Demographics

  • CLIA Code: 20D2301159
  • Facility Name: PORTLAND TREATMENT
  • Facility Address: 6 DIGITAL DRIVE
    BIDDEFORD, ME
    ZIP 04005
  • Facility Phone: 207 888-1254
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: NATHAN ROBERTS
  • NPI Number: 1790559888
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2301159
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PORTLAND TREATMENT
Street 6 DIGITAL DRIVE
City BIDDEFORD
State ME
ZIP 04005
Phone 207 888-1254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director NATHAN ROBERTS

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