20D2114180 CLIA NUMBER - YORK COUNTY COMMUNITY ACTION'S CHILDREN'S SERVICES

Laboratory Demographics

  • CLIA Code: 20D2114180
  • Facility Name: YORK COUNTY COMMUNITY ACTION'S CHILDREN'S SERVICES
  • Facility Address: PO BOX 72 ATTN JENNIFER SCHULTZ
    SANFORD, ME
    ZIP 04073
  • Facility Phone: 207 459-2976
  • Facility Type: Other - HEAD START PROGRAM
  • Facility Type: Waiver
  • Lab Director: MICHELLE FLEAGLE
  • NPI Number: 1295144152
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2114180
LAB Type Other - HEAD START PROGRAM
Facility Name YORK COUNTY COMMUNITY ACTION'S CHILDREN'S SERVICES
Street PO BOX 72 ATTN JENNIFER SCHULTZ
City SANFORD
State ME
ZIP 04073
Phone 207 459-2976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Other - HEAD START PROGRAM
Lab Director MICHELLE FLEAGLE

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