20D1066764 CLIA NUMBER - LIMERICK FIRE EMS DEPT LIMERICK FIRE STATION

Laboratory Demographics

  • CLIA Code: 20D1066764
  • Facility Name: LIMERICK FIRE EMS DEPT LIMERICK FIRE STATION
  • Facility Address: 24 SCHOOL STREET PO BOX 195
    LIMERICK, ME
    ZIP 04048
  • Facility Phone: 207 793-2687
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ROLAND LEPAGE JR
  • NPI Number: 1689776940
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 20D1066764
LAB Type Ambulance
Facility Name LIMERICK FIRE EMS DEPT LIMERICK FIRE STATION
Street 24 SCHOOL STREET PO BOX 195
City LIMERICK
State ME
ZIP 04048
Phone 207 793-2687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Ambulance
Lab Director ROLAND LEPAGE JR

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