CLIA lab
CLIA 20D0894673: Medoc - Maine State Prison
Warren, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D0894673 belongs to Medoc - Maine State Prison in Warren, ME.
Certificate of Waiver, effective December 9, 2025, expires December 8, 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
- December 9, 2025
- Certificate expiration
- December 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 1994
- Facility type
- Other
- 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
- 20D0894673
- Lab name
- Medoc - Maine State Prison
- Address
- 807 Cushing Road, Attn Medical Department, Warren, ME 04864
- Phone
- (207) 273-5481
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Medoc - Maine State Prison in Warren?
20D0894673, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medoc - Maine State Prison hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 20D0894673 expire?
The CMS file lists December 8, 2027 as the certificate expiration date; the certificate took effect December 9, 2025.