20D2208190 CLIA NUMBER - MEDICAL LASER SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 20D2208190
  • Facility Name: MEDICAL LASER SERVICES, LLC
  • Facility Address: 1945 CONGRESS ST
    PORTLAND, ME
    ZIP 04102
  • Facility Phone: 207 761-0177
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA A. ATKINS
  • NPI Number: 1669589669
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 20D2208190
LAB Type Physician Office
Facility Name MEDICAL LASER SERVICES, LLC
Street 1945 CONGRESS ST
City PORTLAND
State ME
ZIP 04102
Phone 207 761-0177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Physician Office
Lab Director MARIA A. ATKINS

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