CLIA lab

CLIA 20D1096138: Northern Light Urology

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

CLIA number 20D1096138 belongs to Northern Light Urology in Bangor, ME.

Certificate of Waiver, effective March 5, 2026, expires March 4, 2028.

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
March 5, 2026
Certificate expiration
March 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 26, 2009
Facility type
Physician office
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
20D1096138
Lab name
Northern Light Urology
Address
55 Broadway, Bangor, ME 04401
Phone
(207) 947-0469
Fax
(207) 973-5368

Annual test volume the lab reported

Waived tests
14,000

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

Other labs in Bangor, ME

Related

Questions

What is the CLIA number for Northern Light Urology in Bangor?

20D1096138, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northern Light Urology hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 20D1096138 expire?

The CMS file lists March 4, 2028 as the certificate expiration date; the certificate took effect March 5, 2026.

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