20D2306010 CLIA NUMBER - UNITED AMBULANCE BRIDGTON

Laboratory Demographics

  • CLIA Code: 20D2306010
  • Facility Name: UNITED AMBULANCE BRIDGTON
  • Facility Address: 32 HOSPITAL DR
    BRIDGTON, ME
    ZIP 04009
  • Facility Phone: 207 777-6006
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: PAUL A. GOSSELIN
  • NPI Number: 1508366519
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 20D2306010
LAB Type Ambulance
Facility Name UNITED AMBULANCE BRIDGTON
Street 32 HOSPITAL DR
City BRIDGTON
State ME
ZIP 04009
Phone 207 777-6006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Ambulance
Lab Director PAUL A. GOSSELIN

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