CLIA lab
CLIA 21D0220629: Pediatric Center of Frederick Llc,the
Mount Airy, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0220629 belongs to Pediatric Center of Frederick Llc,the in Mount Airy, MD.
Certificate of Waiver, effective May 2, 2026, expires May 1, 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 2, 2026
- Certificate expiration
- May 1, 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
- 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
- 21D0220629
- Lab name
- Pediatric Center of Frederick Llc,the
- Address
- 504 Ridgeville Blvd Ste 101, Mount Airy, MD 21771
- Phone
- (301) 662-0133
- Fax
- (301) 662-8108
Annual test volume the lab reported
- Waived tests
- 2,180
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mount Airy, MD
- Anne Arundel DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office21D2125214
- Capital Women's Care Div 33 Satellite LocCertificate for Provider-Performed Microscopy Procedures, Physician office21D1046163
- Capital Womens Care MT AiryCertificate for Provider-Performed Microscopy Procedures, Physician office21D1041054
- Carroll Health Group Endo MT AiryCertificate of Waiver, Physician office21D2122398
- Carroll Hlth GRP Family Medical AssocCertificate for Provider-Performed Microscopy Procedures, Physician office21D0922050
- Expresscare of Mount AiryCertificate of Waiver, Community clinic21D2120582
- Family Medical Center LLCCertificate of Waiver, Other practitioner21D1072465
- Frederick Health Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office21D0951628
- Frederick Pediatric Associates,theCertificate of Waiver, Physician office21D0937442
- Johns Hopkins Regional Physicians LLC DBA Entaa CaCertificate of Waiver, Physician office21D2305176
Related
Questions
What is the CLIA number for Pediatric Center of Frederick Llc,the in Mount Airy?
21D0220629, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric Center of Frederick Llc,the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0220629 expire?
The CMS file lists May 1, 2028 as the certificate expiration date; the certificate took effect May 2, 2026.