CLIA lab
CLIA 20D1104364: Northern Light Blue Hill Provider Practices
Blue Hill, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D1104364 belongs to Northern Light Blue Hill Provider Practices in Blue Hill, ME.
Certificate of Waiver, effective November 15, 2024, expires November 14, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 15, 2024
- Certificate expiration
- November 14, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 2, 2009
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 20D1104364
- Lab name
- Northern Light Blue Hill Provider Practices
- Address
- 57 Water Street, Sussman Building, Blue Hill, ME 04614
- Phone
- (207) 664-7828
Annual test volume the lab reported
- Waived tests
- 4,710
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Blue Hill, ME
- George Stevens AcademyCertificate of Waiver, School or student health service20D2240349
- Northern Light Blue Hill HospitalCertificate of Compliance, Hospital20D0089847
- Peninsula Ambulance CorpsCertificate of Waiver, Ambulance20D1068018
- School Union 93Certificate of Waiver, School or student health service20D2200368
Related
Questions
What is the CLIA number for Northern Light Blue Hill Provider Practices in Blue Hill?
20D1104364, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northern Light Blue Hill Provider Practices hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 20D1104364 expire?
The CMS file lists November 14, 2026 as the certificate expiration date; the certificate took effect November 15, 2024.