CLIA lab
CLIA 20D0718517: Penobscot Community Healthcare Center
Bangor, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D0718517 belongs to Penobscot Community Healthcare Center in Bangor, ME.
Certificate of Waiver, effective December 29, 2024, expires December 28, 2026.
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
- December 29, 2024
- Certificate expiration
- December 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 20D0718517
- Lab name
- Penobscot Community Healthcare Center
- Address
- 1012 Union Street, Bangor, ME 04401
- Phone
- (207) 404-8100
- Fax
- (207) 990-1248
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Bangor, ME
- Acadia Healthcare, IncCertificate of Waiver, Hospital20D2014773
- Acadia Hospital CorporationCertificate of Waiver, Hospital20D0704776
- Acadia Med Arts Ambulatory SurgicalCertificate of Waiver, Ambulatory surgery center20D0877978
- 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 Penobscot Community Healthcare Center in Bangor?
20D0718517, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Penobscot Community Healthcare Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 20D0718517 expire?
The CMS file lists December 28, 2026 as the certificate expiration date; the certificate took effect December 29, 2024.