CLIA lab
CLIA 20D0875484: Maine Dartmouth Family Practice
Waterville, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D0875484 belongs to Maine Dartmouth Family Practice in Waterville, ME.
Certificate for Provider-Performed Microscopy Procedures, effective August 23, 2025, expires August 22, 2027.
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
- August 23, 2025
- Certificate expiration
- August 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 23, 1993
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 20D0875484
- Lab name
- Maine Dartmouth Family Practice
- Address
- 149 North Street, Waterville, ME 04901
- Phone
- (207) 861-5000
- Fax
- (207) 861-5001
Annual test volume the lab reported
- Waived tests
- 2,100
- Provider-performed microscopy tests
- 4
- Total
- 2,104
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Waterville, ME
- Convenientmd - Waterville Primary CareCertificate of Waiver, Other20D2351049
- Convenientmd- Waterville Urgent CareCertificate of Waiver, Other20D2351047
- Delta Ambulance CorporationCertificate of Waiver, Ambulance20D0708908
- Discovery House - WatervilleCertificate of Waiver, Comprehensive outpatient rehab facility20D2130576
- Elmwood Primary CareCertificate of Waiver, Physician office20D0869488
- Healthreach Community Health CentersCertificate of Waiver, Federally qualified health center20D2235479
- Kennebec Medical ConsultantsCertificate of Waiver, Other practitioner20D2222637
- Maine Eye Care AssociatesCertificate of Waiver, Ambulatory surgery center20D0988775
- MainegeneralCertificate of Waiver, Physician office20D0090256
- Mainegeneral College HealthCertificate of Waiver, Physician office20D2292366
Related
Questions
What is the CLIA number for Maine Dartmouth Family Practice in Waterville?
20D0875484, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maine Dartmouth Family Practice hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 20D0875484 expire?
The CMS file lists August 22, 2027 as the certificate expiration date; the certificate took effect August 23, 2025.