CLIA lab
CLIA 20D2166096: Jonathan C Fellers MD PA LLC
Portland, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D2166096 belongs to Jonathan C Fellers MD PA LLC in Portland, ME.
Certificate of Waiver, effective May 13, 2025, expires May 12, 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
- May 13, 2025
- Certificate expiration
- May 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 13, 2019
- 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
- 20D2166096
- Lab name
- Jonathan C Fellers MD PA LLC
- Additional name
- DBA Cortex Behavioral Health
- Address
- 1 City Center, Suite 8130, Portland, ME 04101
- Phone
- (207) 221-0635
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Jonathan C Fellers MD PA LLC in Portland?
20D2166096, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jonathan C Fellers MD PA LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 20D2166096 expire?
The CMS file lists May 12, 2027 as the certificate expiration date; the certificate took effect May 13, 2025.