20D0088258 CLIA NUMBER - INTERMED PA

Laboratory Demographics

  • CLIA Code: 20D0088258
  • Facility Name: INTERMED PA
  • Facility Address: 259 MAIN STREET
    YARMOUTH, ME
    ZIP 04096
  • Facility Phone: 207 874-5322
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KRISTINA MCELHINNEY
  • NPI Number: 1992194963
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D0088258
LAB Type Physician Office
Facility Name INTERMED PA
Street 259 MAIN STREET
City YARMOUTH
State ME
ZIP 04096
Phone 207 874-5322
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director KRISTINA MCELHINNEY

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This page was last updated on: 3/20/2025