CLIA lab
CLIA 20D2212428: Premise Health of Maine Medical, PC
North Berwick, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D2212428 belongs to Premise Health of Maine Medical, PC in North Berwick, ME.
Certificate of Waiver, effective February 4, 2025, expires February 3, 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
- February 4, 2025
- Certificate expiration
- February 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 4, 2021
- 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
- 20D2212428
- Lab name
- Premise Health of Maine Medical, PC
- Address
- 113 Wells Street, North Berwick, ME 03906
- Phone
- (207) 676-4121
- Fax
- (860) 344-4413
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in North Berwick, ME
Related
Questions
What is the CLIA number for Premise Health of Maine Medical, PC in North Berwick?
20D2212428, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Maine Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 20D2212428 expire?
The CMS file lists February 3, 2027 as the certificate expiration date; the certificate took effect February 4, 2025.