20D0088103 CLIA NUMBER - PHILIP ABRAHAM, MD

Laboratory Demographics

  • CLIA Code: 20D0088103
  • Facility Name: PHILIP ABRAHAM, MD
  • Facility Address: 42 STATE ROAD
    KITTERY, ME
    ZIP 03904
  • Facility Phone: 207 324-5968
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP ABRAHAM
  • NPI Number: 1710145172
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D0088103
LAB Type Physician Office
Facility Name PHILIP ABRAHAM, MD
Street 42 STATE ROAD
City KITTERY
State ME
ZIP 03904
Phone 207 324-5968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Physician Office
Lab Director PHILIP ABRAHAM

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