20D2324767 CLIA NUMBER - CONVENIENTMD URGENT CARE - FARMINGTON

Laboratory Demographics

  • CLIA Code: 20D2324767
  • Facility Name: CONVENIENTMD URGENT CARE - FARMINGTON
  • Facility Address: 108 KNOWLTON CORNER RD
    FARMINGTON, ME
    ZIP 04938
  • Facility Phone: 207 578-7152
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SHAMRANG S. KHALSA
  • NPI Number: 1346130713
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D2324767
LAB Type Other - URGENT CARE
Facility Name CONVENIENTMD URGENT CARE - FARMINGTON
Street 108 KNOWLTON CORNER RD
City FARMINGTON
State ME
ZIP 04938
Phone 207 578-7152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Other - URGENT CARE
Lab Director SHAMRANG S. KHALSA

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