20D2281509 CLIA NUMBER - CASCO BAY AMBULANCE SERVICE, INC

Laboratory Demographics

  • CLIA Code: 20D2281509
  • Facility Name: CASCO BAY AMBULANCE SERVICE, INC
  • Facility Address: 149 FRONT STREET
    SOUTH PORTLAND, ME
    ZIP 04106
  • Facility Phone: 207 939-9313
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ADAM D. ROYER
  • NPI Number: 1619138401
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D2281509
LAB Type Ambulance
Facility Name CASCO BAY AMBULANCE SERVICE, INC
Street 149 FRONT STREET
City SOUTH PORTLAND
State ME
ZIP 04106
Phone 207 939-9313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Ambulance
Lab Director ADAM D. ROYER

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