20D2289370 CLIA NUMBER - CONVENIENTMD BELFAST

Laboratory Demographics

  • CLIA Code: 20D2289370
  • Facility Name: CONVENIENTMD BELFAST
  • Facility Address: 18 BELMONT ST
    BELFAST, ME
    ZIP 04915
  • Facility Phone: 207 607-5270
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SHAMRANG KHALSA
  • NPI Number: 1487438164
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2289370
LAB Type Other - URGENT CARE
Facility Name CONVENIENTMD BELFAST
Street 18 BELMONT ST
City BELFAST
State ME
ZIP 04915
Phone 207 607-5270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Other - URGENT CARE
Lab Director SHAMRANG KHALSA

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