20D1067230 CLIA NUMBER - PLEASANT RIVER AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 20D1067230
  • Facility Name: PLEASANT RIVER AMBULANCE SERVICE
  • Facility Address: 183 US HIGHWAY 1
    COLUMBIA, ME
    ZIP 04623
  • Facility Phone: 207 483-2064
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: COURTNEY K. HAMMOND
  • NPI Number: 1104809938
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 20D1067230
LAB Type Ambulance
Facility Name PLEASANT RIVER AMBULANCE SERVICE
Street 183 US HIGHWAY 1
City COLUMBIA
State ME
ZIP 04623
Phone 207 483-2064
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 COURTNEY K. HAMMOND

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