CLIA lab
CLIA 20D1045004: Penobscot Community Health Care Laboratory
Bangor, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D1045004 belongs to Penobscot Community Health Care Laboratory in Bangor, ME.
Certificate of Compliance, effective November 24, 2024, expires November 23, 2026.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- November 24, 2024
- Certificate expiration
- November 23, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 2, 2005
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 20D1045004
- Lab name
- Penobscot Community Health Care Laboratory
- Address
- 992 Union Street Suite J, Bangor, ME 04401
- Phone
- (207) 992-2336
- Fax
- (207) 992-0471
Annual test volume the lab reported
- Waived tests
- 9,198
- Other nonwaived tests
- 501,027
- Total
- 510,225
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bangor, ME
- Acadia Healthcare, IncCertificate of Waiver, Hospital20D2014773
- Acadia Hospital CorporationCertificate of Waiver, Hospital20D0704776
- Acadia Med Arts Ambulatory SurgicalCertificate of Waiver, Ambulatory surgery center20D0877978
- Aging Grace House CallsCertificate of Waiver, Mobile lab20D2297022
- Amedisys Maine PLLCCertificate of Waiver, Home health agency20D1101341
- Apotheosis HealthCertificate of Waiver, Other20D2324769
- Bangor Eye SurgeryCertificate of Waiver, Ambulatory surgery center20D2106859
- Bangor Fire DepartmentCertificate of Waiver, Ambulance20D1070477
- Bangor Plastic and Hand SurgeryCertificate of Waiver, Other20D2290325
- Bangor Public Health & Community ServicesCertificate of Waiver, Public health laboratory20D0089430
Related
Questions
What is the CLIA number for Penobscot Community Health Care Laboratory in Bangor?
20D1045004, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Penobscot Community Health Care Laboratory hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 20D1045004 expire?
The CMS file lists November 23, 2026 as the certificate expiration date; the certificate took effect November 24, 2024.