20D2034128 CLIA NUMBER - VINALHAVEN AMBULANCE

Laboratory Demographics

  • CLIA Code: 20D2034128
  • Facility Name: VINALHAVEN AMBULANCE
  • Facility Address: 56 WEST MAIN STREET
    VINALHAVEN, ME
    ZIP 04863
  • Facility Phone: 207 863-2119
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PATRICIA LUNDHOLM
  • NPI Number: 1467668855
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 20D2034128
LAB Type Ambulance
Facility Name VINALHAVEN AMBULANCE
Street 56 WEST MAIN STREET
City VINALHAVEN
State ME
ZIP 04863
Phone 207 863-2119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Ambulance
Lab Director PATRICIA LUNDHOLM

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