20D1086360 CLIA NUMBER - JEFFERSON FIRE AND RESCUE

Laboratory Demographics

  • CLIA Code: 20D1086360
  • Facility Name: JEFFERSON FIRE AND RESCUE
  • Facility Address: 204 WALDOBORO ROAD PO BOX 5 ATTN JILL HUBER
    JEFFERSON, ME
    ZIP 04348
  • Facility Phone: 207 549-5394
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: WALTER MORRIS
  • NPI Number: 1609077338
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 20D1086360
LAB Type Mobile Laboratory
Facility Name JEFFERSON FIRE AND RESCUE
Street 204 WALDOBORO ROAD PO BOX 5 ATTN JILL HUBER
City JEFFERSON
State ME
ZIP 04348
Phone 207 549-5394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Mobile Laboratory
Lab Director WALTER MORRIS

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