20D2051247 CLIA NUMBER - CUSHING RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 20D2051247
  • Facility Name: CUSHING RESCUE SQUAD
  • Facility Address: 38 CROSS ROAD
    CUSHING, ME
    ZIP 04563
  • Facility Phone: 207 691-0562
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ANDREW BLANCHARD
  • NPI Number: 1518163450
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 20D2051247
LAB Type Ambulance
Facility Name CUSHING RESCUE SQUAD
Street 38 CROSS ROAD
City CUSHING
State ME
ZIP 04563
Phone 207 691-0562
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Ambulance
Lab Director ANDREW BLANCHARD

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