20D2200443 CLIA NUMBER - GRAY FIRE RESCUE

Laboratory Demographics

  • CLIA Code: 20D2200443
  • Facility Name: GRAY FIRE RESCUE
  • Facility Address: 125 SHAKER ROAD
    GRAY, ME
    ZIP 04039
  • Facility Phone: 207 657-3931
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PETER HOLMQUIST
  • NPI Number: 1518902485
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D2200443
LAB Type Ambulance
Facility Name GRAY FIRE RESCUE
Street 125 SHAKER ROAD
City GRAY
State ME
ZIP 04039
Phone 207 657-3931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Ambulance
Lab Director PETER HOLMQUIST

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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