CLIA lab
CLIA 21D0209483: Medstar Shah Medical GRP ST Mary's Medical Center
Charlotte Hall, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0209483 belongs to Medstar Shah Medical GRP ST Mary's Medical Center in Charlotte Hall, MD.
Certificate of Waiver, effective December 15, 2024, expires December 14, 2026.
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
- December 15, 2024
- Certificate expiration
- December 14, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 21D0209483
- Lab name
- Medstar Shah Medical GRP ST Mary's Medical Center
- Address
- 37767 Market Drive Suite 200, Charlotte Hall, MD 20622
- Phone
- (301) 884-7322
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Charlotte Hall, MD
- Charlotte Hall CbocCertificate of Accreditation, Community clinic21D0987068
- Charlotte Hall Veterans HomeCertificate of Waiver, Skilled nursing or nursing facility21D0714593
- Medstar Med Group Womens Health at Charlotte HallCertificate of Waiver, Physician office21D2297099
- Medstar Medical Group at Charlotte HallCertificate of Waiver, Physician office21D2064558
- Medstar Urgent Care LLCCertificate of Waiver, Other21D2115931
- Pyramid Walden LLCCertificate of Waiver, Other21D2103574
- Um Crmg Primary Care Charlotte HallCertificate of Waiver, Physician office21D2348750
- Walgreens #17672Certificate of Waiver, Pharmacy21D2293375
- Winters Chiropractic & Physical Therapy, IncCertificate of Waiver, Physician office21D2071352
Related
Questions
What is the CLIA number for Medstar Shah Medical GRP ST Mary's Medical Center in Charlotte Hall?
21D0209483, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medstar Shah Medical GRP ST Mary's Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0209483 expire?
The CMS file lists December 14, 2026 as the certificate expiration date; the certificate took effect December 15, 2024.