Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
20D2183000
|
|
Clinical laboratory number
|
|
Lab Name
|
FREEPORT PLACE
|
|
Laboratory Name
|
|
Lab Type
|
Assisted Living Facility
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
207-865-3500
|
|
Laboratory telephone number
|
|
Fax
|
207-869-8648
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
4 OLD COUNTRY ROAD
|
|
Primary location adress line
|
|
City
|
FREEPORT
|
|
Primary location city name
|
|
State
|
ME
|
|
Primary location state name
|
|
Zip
|
04032
|
|
Primary location postal code
|