20D1068018 CLIA NUMBER - PENINSULA AMBULANCE CORPS

Laboratory Demographics

  • CLIA Code: 20D1068018
  • Facility Name: PENINSULA AMBULANCE CORPS
  • Facility Address: 46 WATER STREET PO BOX 834
    BLUE HILL, ME
    ZIP 04614
  • Facility Phone: 207 374-9955
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GEOFFREY W. MILLER
  • NPI Number: 1023133253
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 20D1068018
LAB Type Ambulance
Facility Name PENINSULA AMBULANCE CORPS
Street 46 WATER STREET PO BOX 834
City BLUE HILL
State ME
ZIP 04614
Phone 207 374-9955
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Ambulance
Lab Director GEOFFREY W. MILLER

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