20D2312525 CLIA NUMBER - NOVELLA INFUSION, LLC

Laboratory Demographics

  • CLIA Code: 20D2312525
  • Facility Name: NOVELLA INFUSION, LLC
  • Facility Address: 963 SABATTUS ST
    LEWISTON, ME
    ZIP 04240
  • Facility Phone: 207 747-1181
  • Facility Type: Other - INFUSION SERVICES
  • Facility Type: Waiver
  • Lab Director: KATHLEEN TIBBETTS
  • NPI Number: 1710683453
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 20D2312525
LAB Type Other - INFUSION SERVICES
Facility Name NOVELLA INFUSION, LLC
Street 963 SABATTUS ST
City LEWISTON
State ME
ZIP 04240
Phone 207 747-1181
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 Other - INFUSION SERVICES
Lab Director KATHLEEN TIBBETTS

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