20D2003835 CLIA NUMBER - KENNEBUNKPORT EMERGENCY MEDICAL SERVICES

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Laboratory Demographics

CLIA Number: 20D2003835

Facility Name: KENNEBUNKPORT EMERGENCY MEDICAL SERVICES

Facility Address:
147 MILLS ROAD
KENNEBUNKPORT, ME
ZIP 04046
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Facility Phone Number: 207 967-9704

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1942266085

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	20D2003835
LAB Type	Ambulance
Facility Name	KENNEBUNKPORT EMERGENCY MEDICAL SERVICES
Street	147 MILLS ROAD
City	KENNEBUNKPORT
State	ME
ZIP	04046
Phone	207 967-9704
CertificateType	4
CertificateEffectiveDate	2/19/2024
CertificateExpirationDate	2/18/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024