Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
20D2324430
|
|
Clinical laboratory number
|
|
Lab Name
|
PENOBSCOT NATION TRIBAL COURT
|
|
Laboratory Name
|
|
Lab Type
|
Other - ALT SENTENCING COURT
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
207-827-3415
|
|
Laboratory telephone number
|
|
Fax
|
207-827-3430
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
12 WABANAKI WAY
|
|
Primary location adress line
|
|
City
|
INDIAN ISLAND
|
|
Primary location city name
|
|
State
|
ME
|
|
Primary location state name
|
|
Zip
|
04468
|
|
Primary location postal code
|