20D0665749 CLIA NUMBER - BETHEL FAMILY HEALTH CENTER

Laboratory Demographics

CLIA Number: 20D0665749

Facility Name: BETHEL FAMILY HEALTH CENTER

Facility Address:
32 RAILROAD STREET PO BOX 1367
BETHEL, ME
ZIP 04217
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Facility Phone Number: 207 824-2193

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1568435345

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	20D0665749
LAB Type	Physician Office
Facility Name	BETHEL FAMILY HEALTH CENTER
Street	32 RAILROAD STREET PO BOX 1367
City	BETHEL
State	ME
ZIP	04217
Phone	207 824-2193
CertificateType	3
CertificateEffectiveDate	3/31/2024
CertificateExpirationDate	3/30/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024