20D2142842 CLIA NUMBER - HOTHERSALL CONSULTATS, LLC

Laboratory Demographics

  • CLIA Code: 20D2142842
  • Facility Name: HOTHERSALL CONSULTATS, LLC
  • Facility Address: 57 PORTLAND ROAD SUITE 5
    KENNEBUNK, ME
    ZIP 04043
  • Facility Phone: 207 831-6255
  • Facility Type: Other - OFFICE
  • Facility Type: Waiver
  • Lab Director: LORETTA A. HOTHERSALL
  • NPI Number: 1902311426
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 20D2142842
LAB Type Other - OFFICE
Facility Name HOTHERSALL CONSULTATS, LLC
Street 57 PORTLAND ROAD SUITE 5
City KENNEBUNK
State ME
ZIP 04043
Phone 207 831-6255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Other - OFFICE
Lab Director LORETTA A. HOTHERSALL

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