20D2290731 CLIA NUMBER - STILES FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 20D2290731
  • Facility Name: STILES FAMILY PRACTICE
  • Facility Address: 106 MAINT ST
    MARS HILL, ME
    ZIP 04758
  • Facility Phone: 207 550-2002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHELBY J. STILES
  • NPI Number: 1649051319
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 20D2290731
LAB Type Physician Office
Facility Name STILES FAMILY PRACTICE
Street 106 MAINT ST
City MARS HILL
State ME
ZIP 04758
Phone 207 550-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director SHELBY J. STILES

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