CLIA lab
CLIA 20D0089627: Katahdin Nursing Home
Millinocket, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D0089627 belongs to Katahdin Nursing Home in Millinocket, ME.
Certificate of Waiver, effective April 11, 2026, expires April 10, 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 of Waiver
- Certificate effective
- April 11, 2026
- Certificate expiration
- April 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 19, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 20D0089627
- Lab name
- Katahdin Nursing Home
- Address
- 22 Walnut Street, Attn Toni Tibbitts, Millinocket, ME 04462
- Phone
- (207) 723-4711
- Fax
- (207) 723-6704
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Katahdin Health Care LLCCMS Care Compare ratings for the facility at the same street address
Other labs in Millinocket, ME
Related
Questions
What is the CLIA number for Katahdin Nursing Home in Millinocket?
20D0089627, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Katahdin Nursing Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 20D0089627 expire?
The CMS file lists April 10, 2028 as the certificate expiration date; the certificate took effect April 11, 2026.