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CLIA 20D2110230: Intermed Mohs Lab - Dermatology
South Portland, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D2110230 belongs to Intermed Mohs Lab - Dermatology in South Portland, ME.
Certificate of Compliance, effective August 11, 2024, expires October 31, 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 type
- Certificate of Compliance
- Certificate effective
- August 11, 2024
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 10, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 20D2110230
- Lab name
- Intermed Mohs Lab - Dermatology
- Address
- 100 Foden Rd, West Suite 203, South Portland, ME 04106
- Phone
- (207) 523-3900
- Fax
- (207) 523-8593
Annual test volume the lab reported
- Other nonwaived tests
- 1,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 Mohs Lab - Dermatology in South Portland?
20D2110230, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Intermed Mohs Lab - Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 20D2110230 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect August 11, 2024.