20D2198986 CLIA NUMBER - UPPER KENNEBEC VALLEY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 20D2198986
  • Facility Name: UPPER KENNEBEC VALLEY AMBULANCE SERVICE
  • Facility Address: 241 MAIN STREET
    BINGHAM, ME
    ZIP 04920
  • Facility Phone: 207 672-4078
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: IAN D. SHALIT
  • NPI Number: 1730199399
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 20D2198986
LAB Type Ambulance
Facility Name UPPER KENNEBEC VALLEY AMBULANCE SERVICE
Street 241 MAIN STREET
City BINGHAM
State ME
ZIP 04920
Phone 207 672-4078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Ambulance
Lab Director IAN D. SHALIT

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