20D2198628 CLIA NUMBER - KENTS HILL SCHOOL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 20D2198628
  • Facility Name: KENTS HILL SCHOOL HEALTH CENTER
  • Facility Address: 1614 MAIN STREET
    KENTS HILL, ME
    ZIP 04349
  • Facility Phone: 207 500-1053
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH R. FITZPATRICK
  • NPI Number: 1770848525
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2198628
LAB Type School/Student Health Service
Facility Name KENTS HILL SCHOOL HEALTH CENTER
Street 1614 MAIN STREET
City KENTS HILL
State ME
ZIP 04349
Phone 207 500-1053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type School/Student Health Service
Lab Director DR. JOSEPH R. FITZPATRICK

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