20D1084124 CLIA NUMBER - BUXTON FIRE AND RESCUE

Laboratory Demographics

  • CLIA Code: 20D1084124
  • Facility Name: BUXTON FIRE AND RESCUE
  • Facility Address: 185 PORTLAND ROAD
    WEST BUXTON, ME
    ZIP 04093
  • Facility Phone: 207 929-3099
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL MIRISOLA
  • NPI Number: 1831153576
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 20D1084124
LAB Type Ambulance
Facility Name BUXTON FIRE AND RESCUE
Street 185 PORTLAND ROAD
City WEST BUXTON
State ME
ZIP 04093
Phone 207 929-3099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Ambulance
Lab Director MICHAEL MIRISOLA

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