CLIA lab
CLIA 20D2224890: Moose River Outpost
Jackman, ME. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 20D2224890 belongs to Moose River Outpost in Jackman, ME.
Certificate of Waiver, effective May 17, 2025, expires May 16, 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 17, 2025
- Certificate expiration
- May 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 17, 2021
- Facility type
- Other
- Ownership (control type)
- Private
- 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
- 20D2224890
- Lab name
- Moose River Outpost
- Address
- 68 Heald Pond Road, Jackman, ME 04945
- Phone
- (207) 668-4877
- Fax
- (207) 668-4008
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jackman, ME
- Jackman Community Health CenterCertificate of Waiver, Federally qualified health center20D0709006
- Jackman-Moose River Fire & Rescue DeptCertificate of Waiver, Ambulance20D2167012
- Northland Living CenterCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities20D0649607
Related
Questions
What is the CLIA number for Moose River Outpost in Jackman?
20D2224890, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Moose River Outpost hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 20D2224890 expire?
The CMS file lists May 16, 2027 as the certificate expiration date; the certificate took effect May 17, 2025.