20D1031817 CLIA NUMBER - PAUL A SHAPERO M D

Laboratory Demographics

  • CLIA Code: 20D1031817
  • Facility Name: PAUL A SHAPERO M D
  • Facility Address: 700 MT HOPE AVENUE SUITE 430
    BANGOR, ME
    ZIP 04401
  • Facility Phone: 207 947-8658
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL A. SHAPERO MD
  • NPI Number: 1164427258
  • Taxonomy: 207K00000X - Allergy & Immunology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D1031817
LAB Type Physician Office
Facility Name PAUL A SHAPERO M D
Street 700 MT HOPE AVENUE SUITE 430
City BANGOR
State ME
ZIP 04401
Phone 207 947-8658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director PAUL A. SHAPERO MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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