20D2112559 CLIA NUMBER - FRYEBURG RESCUE ASSOCIATION

Laboratory Demographics

  • CLIA Code: 20D2112559
  • Facility Name: FRYEBURG RESCUE ASSOCIATION
  • Facility Address: 89 BRIDGTON ROAD
    FRYEBURG, ME
    ZIP 04037
  • Facility Phone: 207 935-3024
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STEPHEN P. GOLDSMITH
  • NPI Number: 1275835563
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 20D2112559
LAB Type Ambulance
Facility Name FRYEBURG RESCUE ASSOCIATION
Street 89 BRIDGTON ROAD
City FRYEBURG
State ME
ZIP 04037
Phone 207 935-3024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Ambulance
Lab Director STEPHEN P. GOLDSMITH

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