20D1079854 CLIA NUMBER - CESC, LLC

Laboratory Demographics

  • CLIA Code: 20D1079854
  • Facility Name: CESC, LLC
  • Facility Address: 128 BUCKSPORT ROAD
    ELLSWORTH, ME
    ZIP 04605
  • Facility Phone: 207 667-7730
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ISAAC RUDLOE
  • NPI Number: 1063878734
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D1079854
LAB Type Ambulatory Surgery Center
Facility Name CESC, LLC
Street 128 BUCKSPORT ROAD
City ELLSWORTH
State ME
ZIP 04605
Phone 207 667-7730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Ambulatory Surgery Center
Lab Director ISAAC RUDLOE

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