20D1067224 CLIA NUMBER - BRUNSWICK FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 20D1067224
  • Facility Name: BRUNSWICK FIRE DEPARTMENT
  • Facility Address: 119 PLEASANT STREET
    BRUNSWICK, ME
    ZIP 04011
  • Facility Phone: 207 725-5541
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KENNETH A. BRILLANT
  • NPI Number: 1326541616
  • Taxonomy: 204D00000X - Neuromusculoskeletal Medicine & OMM

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CLIA Record

Field Name Field Value
CLIA Number 20D1067224
LAB Type Ambulance
Facility Name BRUNSWICK FIRE DEPARTMENT
Street 119 PLEASANT STREET
City BRUNSWICK
State ME
ZIP 04011
Phone 207 725-5541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Ambulance
Lab Director KENNETH A. BRILLANT

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