20D2234363 CLIA NUMBER - CAMDEN HILLS REGIONAL HIGH SCHOOL

Laboratory Demographics

CLIA Number: 20D2234363

Facility Name: CAMDEN HILLS REGIONAL HIGH SCHOOL

Facility Address:
25 KEELSON DRIVE
ROCKPORT, ME
ZIP 04856
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Facility Phone Number: 207 236-7800

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1699245589

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	20D2234363
LAB Type	School/Student Health Service
Facility Name	CAMDEN HILLS REGIONAL HIGH SCHOOL
Street	25 KEELSON DRIVE
City	ROCKPORT
State	ME
ZIP	04856
Phone	207 236-7800
CertificateType	4
CertificateEffectiveDate	8/31/2023
CertificateExpirationDate	8/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024