20D0953484 CLIA NUMBER - ST JOSEPHS COLLEGE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 20D0953484
  • Facility Name: ST JOSEPHS COLLEGE HEALTH SERVICES
  • Facility Address: 278 WHITES BRIDGE ROAD
    STANDISH, ME
    ZIP 04084
  • Facility Phone: 207 893-6633
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. SU ANNE HAMMOND
  • NPI Number: 1083863864
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D0953484
LAB Type School/Student Health Service
Facility Name ST JOSEPHS COLLEGE HEALTH SERVICES
Street 278 WHITES BRIDGE ROAD
City STANDISH
State ME
ZIP 04084
Phone 207 893-6633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type School/Student Health Service
Lab Director DR. SU ANNE HAMMOND

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