20D1096142 CLIA NUMBER - MARATHON HEALTH WELLNESS CENTER AT NEW BALANCE SKOWHEGAN

Laboratory Demographics

  • CLIA Code: 20D1096142
  • Facility Name: MARATHON HEALTH WELLNESS CENTER AT NEW BALANCE SKOWHEGAN
  • Facility Address: 17 WALNUT STREET
    SKOWHEGAN, ME
    ZIP 04976
  • Facility Phone: 802 857-0463
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KRISTIE KNAPP FNP
  • NPI Number: 1497343461
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D1096142
LAB Type Other
Facility Name MARATHON HEALTH WELLNESS CENTER AT NEW BALANCE SKOWHEGAN
Street 17 WALNUT STREET
City SKOWHEGAN
State ME
ZIP 04976
Phone 802 857-0463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Other
Lab Director KRISTIE KNAPP FNP

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