20D2302751 CLIA NUMBER - MAINEHEALTH CANCER CARE, BLOOD DISORDERS & IV THERAPY

Laboratory Demographics

  • CLIA Code: 20D2302751
  • Facility Name: MAINEHEALTH CANCER CARE, BLOOD DISORDERS & IV THERAPY
  • Facility Address: 100 CAMPUS DRIVE
    SCARBOROUGH, ME
    ZIP 04074
  • Facility Phone: 207 396-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA J. BIAN
  • NPI Number: 1265912067
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 20D2302751
LAB Type Physician Office
Facility Name MAINEHEALTH CANCER CARE, BLOOD DISORDERS & IV THERAPY
Street 100 CAMPUS DRIVE
City SCARBOROUGH
State ME
ZIP 04074
Phone 207 396-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director JESSICA J. BIAN

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