CLIA lab

CLIA 20D0906087: 75 State Street

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

CLIA number 20D0906087 belongs to 75 State Street in Portland, ME.

Certificate of Waiver, effective September 28, 2025, expires September 27, 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
September 28, 2025
Certificate expiration
September 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 28, 1995
Facility type
Assisted living facility
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
20D0906087
Lab name
75 State Street
Address
75 State Street, Portland, ME 04101
Phone
(207) 775-7775
Fax
(207) 772-2896

Annual test volume the lab reported

Waived tests
20,000

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

Other labs in Portland, ME

Related

Questions

What is the CLIA number for 75 State Street in Portland?

20D0906087, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 75 State Street hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 20D0906087 expire?

The CMS file lists September 27, 2027 as the certificate expiration date; the certificate took effect September 28, 2025.

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