20D2211718 CLIA NUMBER - LEWISTON PUBLIC SCHOOLS

Laboratory Demographics

  • CLIA Code: 20D2211718
  • Facility Name: LEWISTON PUBLIC SCHOOLS
  • Facility Address: 36 OAK STREET
    LEWISTON, ME
    ZIP 04240
  • Facility Phone: 207 795-4180
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: WENDIE S. BOURGOIN
  • NPI Number: 1558654145
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2211718
LAB Type School/Student Health Service
Facility Name LEWISTON PUBLIC SCHOOLS
Street 36 OAK STREET
City LEWISTON
State ME
ZIP 04240
Phone 207 795-4180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type School/Student Health Service
Lab Director WENDIE S. BOURGOIN

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This page was last updated on: 6/4/2025