20D0725507 CLIA NUMBER - BELFAST PEDIATRICS

Laboratory Demographics

  • CLIA Code: 20D0725507
  • Facility Name: BELFAST PEDIATRICS
  • Facility Address: 16 FAHEY STREET, STE 107
    BELFAST, ME
    ZIP 04915
  • Facility Phone: 207 338-4257
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH H. ANDERSON MD
  • NPI Number: 1558436683
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 20D0725507
LAB Type Physician Office
Facility Name BELFAST PEDIATRICS
Street 16 FAHEY STREET, STE 107
City BELFAST
State ME
ZIP 04915
Phone 207 338-4257
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Physician Office
Lab Director JOSEPH H. ANDERSON MD

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