CLIA lab
CLIA 21D0214389: Ellicott City Primary Care Medicine
Ellicott City, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0214389 belongs to Ellicott City Primary Care Medicine in Ellicott City, MD.
Certificate of Waiver, effective September 28, 2024, expiration date September 27, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 28, 2024
- Certificate expiration
- September 27, 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
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 21D0214389
- Lab name
- Ellicott City Primary Care Medicine
- Address
- 10298-B Baltimore National Pike, Ellicott City, MD 21042
- Phone
- (410) 465-1091
- Fax
- (410) 465-8129
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Radiology CrossroadsCertificate of Waiver, Other21D2076107
- Angels Who Care Home Health ServicesCertificate of Waiver, Home health agency21D2128229
- Asthma & Allergy Center LLCCertificate of Waiver, Physician office21D2304442
- Barenburg Optometric Services IncCertificate of Waiver, Physician office21D2098605
- Better Life Pain ClinicCertificate of Waiver, Physician office21D2165387
- Capital Healthcare Mso Inc DBA Closeknit EllicottCertificate of Waiver, Physician office21D1081158
- Clear Skin for YouCertificate of Waiver, Physician office21D2238172
- Crossroads Medical Laboratory LLCCertificate of Compliance, Physician office21D0214558
- Ellicott City Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center21D0957189
- Ellicott City DialysisCertificate of Waiver, End stage renal disease dialysis facility21D1070823
Related
Questions
What is the CLIA number for Ellicott City Primary Care Medicine in Ellicott City?
21D0214389, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ellicott City Primary Care Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0214389 expire?
The CMS file lists September 27, 2026 as the certificate expiration date; the certificate took effect September 28, 2024.