20D0684479 CLIA NUMBER - VANCE A ALOUPIS M D

Laboratory Demographics

  • CLIA Code: 20D0684479
  • Facility Name: VANCE A ALOUPIS M D
  • Facility Address: 792 STATE ST
    BANGOR, ME
    ZIP 04401
  • Facility Phone: 207 947-6508
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: VANCE A. ALOUPIS MD
  • NPI Number: 1205877701
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D0684479
LAB Type Physician Office
Facility Name VANCE A ALOUPIS M D
Street 792 STATE ST
City BANGOR
State ME
ZIP 04401
Phone 207 947-6508
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 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Physician Office
Lab Director VANCE A. ALOUPIS MD

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