20D2309705 CLIA NUMBER - SEBASTICOOK FAMILY DOCTORS DBA HOMETOWN HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 20D2309705
  • Facility Name: SEBASTICOOK FAMILY DOCTORS DBA HOMETOWN HEALTH CENTER
  • Facility Address: 118 MOOSEHEAD TRAIL STE 5 (MOBILE UNIT)
    NEWPORT, ME
    ZIP 04953
  • Facility Phone: 207 368-5189
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL MACDONALD
  • NPI Number: 1396026803
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 20D2309705
LAB Type Federally Qualified Health Center
Facility Name SEBASTICOOK FAMILY DOCTORS DBA HOMETOWN HEALTH CENTER
Street 118 MOOSEHEAD TRAIL STE 5 (MOBILE UNIT)
City NEWPORT
State ME
ZIP 04953
Phone 207 368-5189
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Federally Qualified Health Center
Lab Director MICHAEL MACDONALD

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