CLIA lab
CLIA 20D2167012: Jackman-Moose River Fire & Rescue Dept
Jackman, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D2167012 belongs to Jackman-Moose River Fire & Rescue Dept in Jackman, ME.
Certificate of Waiver, effective May 31, 2025, expires May 30, 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 31, 2025
- Certificate expiration
- May 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 31, 2019
- Facility type
- Ambulance
- Ownership (control type)
- Government, city
- 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
- 20D2167012
- Lab name
- Jackman-Moose River Fire & Rescue Dept
- Address
- 369 Main Street, Jackman, ME 04945
- Phone
- (207) 668-2111
- Fax
- (207) 668-4125
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jackman, ME
Related
Questions
What is the CLIA number for Jackman-Moose River Fire & Rescue Dept in Jackman?
20D2167012, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jackman-Moose River Fire & Rescue Dept hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 20D2167012 expire?
The CMS file lists May 30, 2027 as the certificate expiration date; the certificate took effect May 31, 2025.