CLIA lab
CLIA 20D2192097: Maine Health
Boothbay Harbor, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D2192097 belongs to Maine Health in Boothbay Harbor, ME.
Certificate of Waiver, effective September 4, 2026, expires September 3, 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
- September 4, 2026
- Certificate expiration
- September 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 4, 2020
- Facility type
- Assisted living facility
- 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
- 20D2192097
- Lab name
- Maine Health
- Additional name
- Safe Havens of Saint Andrews Village
- Address
- 145 Emery Lane, Attn Cheryl Wusterbarth, Boothbay Harbor, ME 04538
- Phone
- (207) 633-0920
- Fax
- (207) 633-1211
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Boothbay Harbor, ME
Related
Questions
What is the CLIA number for Maine Health in Boothbay Harbor?
20D2192097, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maine Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 20D2192097 expire?
The CMS file lists September 3, 2028 as the certificate expiration date; the certificate took effect September 4, 2026.