CLIA lab
CLIA 20D0719653: Penobscot Nation Health Dept
Indian Island, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D0719653 belongs to Penobscot Nation Health Dept in Indian Island, ME.
Certificate for Provider-Performed Microscopy Procedures, effective October 16, 2026, expires October 15, 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
- October 16, 2026
- Certificate expiration
- October 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Federally qualified health center
- Ownership (control type)
- Government, federal
- 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
- 20D0719653
- Lab name
- Penobscot Nation Health Dept
- Address
- 23 Wabanaki Way, Indian Island, ME 04468
- Phone
- (207) 827-6101
- Fax
- (207) 817-7459
Annual test volume the lab reported
- Waived tests
- 2,500
- Provider-performed microscopy tests
- 250
- Total
- 2,750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Indian Island, ME
Related
Questions
What is the CLIA number for Penobscot Nation Health Dept in Indian Island?
20D0719653, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Penobscot Nation Health Dept hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 20D0719653 expire?
The CMS file lists October 15, 2028 as the certificate expiration date; the certificate took effect October 16, 2026.