20D2202264 CLIA NUMBER - LISBON EMERGENCY INC

Laboratory Demographics

  • CLIA Code: 20D2202264
  • Facility Name: LISBON EMERGENCY INC
  • Facility Address: 42 VILLAGE STREET
    LISBON, ME
    ZIP 04250
  • Facility Phone: 207 353-4079
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: AMY M. CAILLER
  • NPI Number: 1154367241
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 20D2202264
LAB Type Ambulance
Facility Name LISBON EMERGENCY INC
Street 42 VILLAGE STREET
City LISBON
State ME
ZIP 04250
Phone 207 353-4079
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Ambulance
Lab Director AMY M. CAILLER

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