20D2249624 CLIA NUMBER - EXLINE HEALTH, PLLC

Laboratory Demographics

  • CLIA Code: 20D2249624
  • Facility Name: EXLINE HEALTH, PLLC
  • Facility Address: 5 SCHOOL STREET SUITE 201
    ELLSWORTH, ME
    ZIP 04605
  • Facility Phone: 207 613-7500
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KIMBERLY A. MARSHALL
  • NPI Number: 1669133237
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 20D2249624
LAB Type Practitioner Other
Facility Name EXLINE HEALTH, PLLC
Street 5 SCHOOL STREET SUITE 201
City ELLSWORTH
State ME
ZIP 04605
Phone 207 613-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Practitioner Other
Lab Director KIMBERLY A. MARSHALL

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