20D2119986 CLIA NUMBER - AARDVARK PEDIATRICS

Laboratory Demographics

  • CLIA Code: 20D2119986
  • Facility Name: AARDVARK PEDIATRICS
  • Facility Address: 9 MARSTON STREET
    NORWAY, ME
    ZIP 04268
  • Facility Phone: 207 613-4113
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAM ADLER MD
  • NPI Number: 1932552106
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 20D2119986
LAB Type Physician Office
Facility Name AARDVARK PEDIATRICS
Street 9 MARSTON STREET
City NORWAY
State ME
ZIP 04268
Phone 207 613-4113
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Physician Office
Lab Director SAM ADLER MD

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