Intermed Mohs Lab - Dermatology

CLIA Laboratory Citation Details

2
Total Citations
3
Total Deficiencyies
2
Unique D-Tags
CMS Certification Number 20D2110230
Address 100 Foden Rd, West Suite 203, South Portland, ME, 04106
City South Portland
State ME
Zip Code04106
Phone(207) 774-5816
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Citation History (2 surveys)

Survey - September 16, 2026

Survey Type: Standard

Survey Event ID: EG5Y11

Deficiency Tags: D5781

Summary:

Summary Statement of Deficiencies D5781

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Survey - March 23, 2018

Survey Type: Standard

Survey Event ID: 9X6U11

Deficiency Tags: D0000 D0000

Summary:

Summary Statement of Deficiencies D0000 The pathology testing at InterMed Mohs Lab - Dermatology is in compliance with the Clinical Laboratory Improvement Amendments of 1988 (CLIA). No deficiencies were identified during the recertification laboratory survey completed on March 23, 2018. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --

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