20D1066884 CLIA NUMBER - UNION AMBULANCE DEPT TOWN OF UNION MUNICIPAL BUILDING

Laboratory Demographics

CLIA Number: 20D1066884

Facility Name: UNION AMBULANCE DEPT TOWN OF UNION MUNICIPAL BUILDING

Facility Address:
567 COMMON ROAD PO BOX 186
UNION, ME
ZIP 04862
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Facility Phone Number: 207 785-3803

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1194840066

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	20D1066884
LAB Type	Ambulance
Facility Name	UNION AMBULANCE DEPT TOWN OF UNION MUNICIPAL BUILDING
Street	567 COMMON ROAD PO BOX 186
City	UNION
State	ME
ZIP	04862
Phone	207 785-3803
CertificateType	4
CertificateEffectiveDate	4/5/2023
CertificateExpirationDate	4/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024