CLIA lab
CLIA 21D0209680: Medstar Med GRP Southern/ Calvert Medical Arts CTR
Prince Frederick, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0209680 belongs to Medstar Med GRP Southern/ Calvert Medical Arts CTR in Prince Frederick, MD.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 1993
- 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
- 21D0209680
- Lab name
- Medstar Med GRP Southern/ Calvert Medical Arts CTR
- Address
- 130 Hospital Rd Suite 300, Prince Frederick, MD 20678
- Phone
- (301) 855-1377
- Fax
- (410) 535-3260
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Prince Frederick, MD
- Anne Arundel Dermatology, PACertificate of Compliance, Physician office21D0688709
- Ars An Affiliate of Maryland Imaging NetworkCertificate of Waiver, Other21D2041797
- Bayside Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office21D1051159
- Bhargesh P Mehta MD Padba Mehta PediatricsCertificate of Waiver, Physician office21D0982635
- Birthright of Prince FrederickCertificate of Waiver, Other21D0904615
- CRH MD Management LLC DBA Patriot Urgent Care- PRFCertificate of Waiver, Other21D2160088
- Calvert County Health DepartmentCertificate for Provider-Performed Microscopy Procedures, Other21D0687437
- Calvert D D Assoc Endo and Surg CTR LLCCertificate of Waiver, Ambulatory surgery center21D2144898
- Calvert Dermatology LLCCertificate of Compliance, Physician office21D1107685
- Calvert Internal Medicine GroupCertificate of Accreditation, Physician office21D0689728
Related
Questions
What is the CLIA number for Medstar Med GRP Southern/ Calvert Medical Arts CTR in Prince Frederick?
21D0209680, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medstar Med GRP Southern/ Calvert Medical Arts CTR hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0209680 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.