20D2306025 CLIA NUMBER - CATHOLIC CHARITIES MAINE

Laboratory Demographics

  • CLIA Code: 20D2306025
  • Facility Name: CATHOLIC CHARITIES MAINE
  • Facility Address: 24 DUNN ST
    AUBURN, ME
    ZIP 04210
  • Facility Phone: 207 781-8550
  • Facility Type: Other - BEHAVIORAL HEALTH TREAT.
  • Facility Type: Waiver
  • Lab Director: JEFFREY TINER
  • NPI Number: 1114151180
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2306025
LAB Type Other - BEHAVIORAL HEALTH TREAT.
Facility Name CATHOLIC CHARITIES MAINE
Street 24 DUNN ST
City AUBURN
State ME
ZIP 04210
Phone 207 781-8550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Other - BEHAVIORAL HEALTH TREAT.
Lab Director JEFFREY TINER

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