20D2238197 CLIA NUMBER - MOUNT DESERT FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 20D2238197
  • Facility Name: MOUNT DESERT FIRE DEPARTMENT
  • Facility Address: 21 SEA STREET
    NORTHEAST HARBOR, ME
    ZIP 04662
  • Facility Phone: 207 276-5111
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. BENDER
  • NPI Number: 1770955783
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 20D2238197
LAB Type Ambulance
Facility Name MOUNT DESERT FIRE DEPARTMENT
Street 21 SEA STREET
City NORTHEAST HARBOR
State ME
ZIP 04662
Phone 207 276-5111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Ambulance
Lab Director MICHAEL D. BENDER

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