20D2327669 CLIA NUMBER - SOUTH BERWICK FIRE

Laboratory Demographics

  • CLIA Code: 20D2327669
  • Facility Name: SOUTH BERWICK FIRE
  • Facility Address: 71 NORTON STREET
    SOUTH BERWICK, ME
    ZIP 03908
  • Facility Phone: 207 384-2731
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KATIE J. MOORE
  • NPI Number: 1811255318
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 20D2327669
LAB Type Mobile Laboratory
Facility Name SOUTH BERWICK FIRE
Street 71 NORTON STREET
City SOUTH BERWICK
State ME
ZIP 03908
Phone 207 384-2731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Mobile Laboratory
Lab Director KATIE J. MOORE

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