CLIA lab
CLIA 21D0215426: Pavilion Pediatrics PA
Lutherville, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0215426 belongs to Pavilion Pediatrics PA in Lutherville, MD.
Certificate of Waiver, effective January 30, 2026, expires January 29, 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
- January 30, 2026
- Certificate expiration
- January 29, 2028
- 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
- 21D0215426
- Lab name
- Pavilion Pediatrics PA
- Address
- 10755 Falls Rd Suite 260, Lutherville, MD 21093
- Phone
- (410) 583-2955
- Fax
- (410) 583-2962
Annual test volume the lab reported
- Waived tests
- 349
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Choiceplus Healthcare LLCCertificate of Compliance, Physician office21D2317707
- Cosmetic Surgery Facility LLCCertificate of Waiver, Ambulatory surgery center21D2138145
- DRS Gouel and BlotnyCertificate of Waiver, Physician office21D0679845
- David A Gordon PCCertificate of Compliance, Physician office21D2118388
- Doctors First LLCCertificate of Waiver, Physician office21D2332980
- Falls Medical SpecialistsCertificate of Waiver, Physician office21D0682578
Related
Questions
What is the CLIA number for Pavilion Pediatrics PA in Lutherville?
21D0215426, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pavilion Pediatrics PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0215426 expire?
The CMS file lists January 29, 2028 as the certificate expiration date; the certificate took effect January 30, 2026.