CLIA lab
CLIA 21D0216791: Lifebridge Community Pediatrics DBA Main Street Pe
Owings Mills, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0216791 belongs to Lifebridge Community Pediatrics DBA Main Street Pe in Owings Mills, MD.
Certificate of Waiver, effective May 7, 2026, expires May 6, 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
- May 7, 2026
- Certificate expiration
- May 6, 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
- 21D0216791
- Lab name
- Lifebridge Community Pediatrics DBA Main Street Pe
- Address
- 10084 Reisterstown Road #200B, Owings Mills, MD 21117
- Phone
- (410) 526-7993
- Fax
- (410) 526-5144
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Lifebridge Community Pediatrics DBA Main Street Pe in Owings Mills?
21D0216791, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lifebridge Community Pediatrics DBA Main Street Pe hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0216791 expire?
The CMS file lists May 6, 2028 as the certificate expiration date; the certificate took effect May 7, 2026.