20D1096145 CLIA NUMBER - MARATHON HEALTH WELLNESS CENTER AT NEW BALANCE NORWAY

Laboratory Demographics

  • CLIA Code: 20D1096145
  • Facility Name: MARATHON HEALTH WELLNESS CENTER AT NEW BALANCE NORWAY
  • Facility Address: 72 COTTAGE STREET
    NORWAY, ME
    ZIP 04268
  • Facility Phone: 802 857-0463
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KRISTIE KNAPP FNP
  • NPI Number: 1770171746
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 20D1096145
LAB Type Other
Facility Name MARATHON HEALTH WELLNESS CENTER AT NEW BALANCE NORWAY
Street 72 COTTAGE STREET
City NORWAY
State ME
ZIP 04268
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