CLIA lab
CLIA 20D1045753: Intermed PA
South Portland, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D1045753 belongs to Intermed PA in South Portland, ME.
Certificate of Waiver, effective September 22, 2025, expires September 21, 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 22, 2025
- Certificate expiration
- September 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 22, 2005
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 20D1045753
- Lab name
- Intermed PA
- Address
- 100 Foden Road West, South Portland, ME 04106
- Phone
- (207) 523-3687
- Fax
- (207) 274-6012
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in South Portland, ME
- Affinity Care of Maine LLCCertificate of Waiver, Hospice20D2268672
- American Current Care, PACertificate of Waiver, Physician office20D0896160
- Aware Recovery Care of MaineCertificate of Waiver, Other20D2158020
- Beacon Hospice, LLCCertificate of Waiver, Hospice20D0996673
- Birch Rock CampCertificate of Waiver, Other20D2217909
- Broadway Crossings the Opportunity AllianceCertificate of Waiver, Other20D2202715
- Careall PC DBA American Family CareCertificate of Waiver, Other20D2163247
- Casco Bay Ambulance Service, IncCertificate of Waiver, Ambulance20D2281509
- Casco Bay Direct Primary CareCertificate of Waiver, Physician office20D2288866
- Centerwell Home HealthCertificate of Waiver, Home health agency20D0711516
Related
Questions
What is the CLIA number for Intermed PA in South Portland?
20D1045753, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Intermed PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 20D1045753 expire?
The CMS file lists September 21, 2027 as the certificate expiration date; the certificate took effect September 22, 2025.