CLIA lab
CLIA 20D0089363: Northeast Nephrology PA
Bangor, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D0089363 belongs to Northeast Nephrology PA in Bangor, ME.
Certificate for Provider-Performed Microscopy Procedures, effective September 1, 2026, expires August 31, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 23, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 20D0089363
- Lab name
- Northeast Nephrology PA
- Address
- 417 State St, Bangor, ME 04401
- Phone
- (207) 973-8833
- Fax
- (207) 973-8836
Annual test volume the lab reported
- Provider-performed microscopy tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aging Grace House CallsCertificate of Waiver, Mobile lab20D2297022
- Amedisys Maine PLLCCertificate of Waiver, Home health agency20D1101341
- Apotheosis HealthCertificate of Waiver, Other20D2324769
- Bangor Eye SurgeryCertificate of Waiver, Ambulatory surgery center20D2106859
- Bangor Fire DepartmentCertificate of Waiver, Ambulance20D1070477
- Bangor Plastic and Hand SurgeryCertificate of Waiver, Other20D2290325
- Bangor Public Health & Community ServicesCertificate of Waiver, Public health laboratory20D0089430
Related
Questions
What is the CLIA number for Northeast Nephrology PA in Bangor?
20D0089363, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northeast Nephrology PA hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 20D0089363 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.