20D0901487 CLIA NUMBER - UNITED AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 20D0901487
  • Facility Name: UNITED AMBULANCE SERVICE
  • Facility Address: 192 RUSSELL STREET
    LEWISTON, ME
    ZIP 04240
  • Facility Phone: 207 777-6000
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DENNIS RUSSELL
  • NPI Number: 1912969023
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 20D0901487
LAB Type Ambulance
Facility Name UNITED AMBULANCE SERVICE
Street 192 RUSSELL STREET
City LEWISTON
State ME
ZIP 04240
Phone 207 777-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Ambulance
Lab Director DENNIS RUSSELL

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