20D1086364 CLIA NUMBER - ST GEORGE AMBULANCE

Laboratory Demographics

  • CLIA Code: 20D1086364
  • Facility Name: ST GEORGE AMBULANCE
  • Facility Address: 3 SCHOOL STREET
    TENANTS HARBOR, ME
    ZIP 04860
  • Facility Phone: 207 372-6363
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: AMY D. DRINKWATER
  • NPI Number: 1417331752
  • Taxonomy: 251300000X - Local Education Agency (LEA)

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D1086364
LAB Type Ambulance
Facility Name ST GEORGE AMBULANCE
Street 3 SCHOOL STREET
City TENANTS HARBOR
State ME
ZIP 04860
Phone 207 372-6363
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 Ambulance
Lab Director AMY D. DRINKWATER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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