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20D2115267 CLIA NUMBER - ISLESBORO AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 20D2115267

Facility Name: ISLESBORO AMBULANCE SERVICE

Facility Address:
150 MAIN ROAD
ISLESBORO, ME
ZIP 04848
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Facility Phone Number: 207 734-6787

Facility Type: Ambulance

Certificate Type: Waiver
NPI Number: 1467781492

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 20D2115267
LAB Type Ambulance
Facility Name ISLESBORO AMBULANCE SERVICE
Street 150 MAIN ROAD
City ISLESBORO
State ME
ZIP 04848
Phone 207 734-6787
CertificateType 4
CertificateEffectiveDate 7/1/2022
CertificateExpirationDate 6/30/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024