CLIA lab

CLIA 21D0217123: Autumn Lake Post Acute Care Center

Baltimore, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 21D0217123 belongs to Autumn Lake Post Acute Care Center in Baltimore, 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
March 19, 1993
Facility type
Skilled nursing or nursing facility
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
21D0217123
Lab name
Autumn Lake Post Acute Care Center
Address
5009 Frankford Avenue, Baltimore, MD 21206
Phone
(410) 325-4000
Fax
(410) 325-6767

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Baltimore, MD

Related

Questions

What is the CLIA number for Autumn Lake Post Acute Care Center in Baltimore?

21D0217123, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Autumn Lake Post Acute Care Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D0217123 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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