20D2196129 CLIA NUMBER - STEPHENS CENTER FOR SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 20D2196129
  • Facility Name: STEPHENS CENTER FOR SPECIALTY CARE
  • Facility Address: 159 MAIN STREET
    NORWAY, ME
    ZIP 04268
  • Facility Phone: 207 744-6032
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: OLA MELHUS MD
  • NPI Number: 1285925438
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 20D2196129
LAB Type Ancillary Testing Site in Health Care Center
Facility Name STEPHENS CENTER FOR SPECIALTY CARE
Street 159 MAIN STREET
City NORWAY
State ME
ZIP 04268
Phone 207 744-6032
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director OLA MELHUS MD

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