20D2054334 CLIA NUMBER - GREENBUSH FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 20D2054334
  • Facility Name: GREENBUSH FIRE DEPARTMENT
  • Facility Address: 132 MILITARY ROAD, PO BOX 230
    GREENBUSH, ME
    ZIP 04418
  • Facility Phone: 207 826-2050
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JAMES E. MCCRUM
  • NPI Number: 1811227101
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2054334
LAB Type Ambulance
Facility Name GREENBUSH FIRE DEPARTMENT
Street 132 MILITARY ROAD, PO BOX 230
City GREENBUSH
State ME
ZIP 04418
Phone 207 826-2050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Ambulance
Lab Director JAMES E. MCCRUM

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