CLIA lab

CLIA 20D0877494: Russell Park Rehab and Living Center

Lewiston, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 20D0877494 belongs to Russell Park Rehab and Living Center in Lewiston, ME.

Certificate of Waiver, effective October 4, 2025, expires October 3, 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 of Waiver
Certificate effective
October 4, 2025
Certificate expiration
October 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 4, 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
20D0877494
Lab name
Russell Park Rehab and Living Center
Address
158 Russell Street, Lewiston, ME 04240
Phone
(207) 786-0691
Fax
(207) 782-8094

Annual test volume the lab reported

Waived tests
1,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Lewiston, ME

Related

Questions

What is the CLIA number for Russell Park Rehab and Living Center in Lewiston?

20D0877494, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Russell Park Rehab and Living Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 20D0877494 expire?

The CMS file lists October 3, 2027 as the certificate expiration date; the certificate took effect October 4, 2025.

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