20D2055033 CLIA NUMBER - KENNEBUNK FIRE RESCUE

Laboratory Demographics

  • CLIA Code: 20D2055033
  • Facility Name: KENNEBUNK FIRE RESCUE
  • Facility Address: 1 SUMMER STREET
    KENNEBUNK, ME
    ZIP 04043
  • Facility Phone: 207 604-1315
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BEAU GLEASON
  • NPI Number: 1427403245
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D2055033
LAB Type Ambulance
Facility Name KENNEBUNK FIRE RESCUE
Street 1 SUMMER STREET
City KENNEBUNK
State ME
ZIP 04043
Phone 207 604-1315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Ambulance
Lab Director BEAU GLEASON

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