Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
20D2298451
|
|
Clinical laboratory number
|
|
Lab Name
|
BANGOR CHILDREN'S DENTISTRY
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
207-745-2123
|
|
Laboratory telephone number
|
|
Fax
|
207-974-3067
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
26 ACME RD
|
|
Primary location adress line
|
|
City
|
BREWER
|
|
Primary location city name
|
|
State
|
ME
|
|
Primary location state name
|
|
Zip
|
04412
|
|
Primary location postal code
|