20D2026567 CLIA NUMBER - THREE RIVERS AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 20D2026567
  • Facility Name: THREE RIVERS AMBULANCE SERVICE
  • Facility Address: 25 WEST MAIN STREET
    MILO, ME
    ZIP 04463
  • Facility Phone: 207 943-2950
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. LARSON
  • NPI Number: 1013057033
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 20D2026567
LAB Type Ambulance
Facility Name THREE RIVERS AMBULANCE SERVICE
Street 25 WEST MAIN STREET
City MILO
State ME
ZIP 04463
Phone 207 943-2950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Ambulance
Lab Director MICHAEL J. LARSON

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