20D1068125 CLIA NUMBER - ANSON MADISON AMBULANCE

Laboratory Demographics

  • CLIA Code: 20D1068125
  • Facility Name: ANSON MADISON AMBULANCE
  • Facility Address: 11 ARNOLD LANE
    ANSON, ME
    ZIP 04911
  • Facility Phone: 207 696-5332
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GEORGE DEMCHAK
  • NPI Number: 1427049402
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 20D1068125
LAB Type Ambulance
Facility Name ANSON MADISON AMBULANCE
Street 11 ARNOLD LANE
City ANSON
State ME
ZIP 04911
Phone 207 696-5332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Ambulance
Lab Director GEORGE DEMCHAK

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