CLIA lab
CLIA 21D0220647: Record Street Home
Frederick, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0220647 belongs to Record Street Home in Frederick, 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
- December 21, 1992
- Facility type
- Other
- Ownership (control type)
- Other
- 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
- 21D0220647
- Lab name
- Record Street Home
- Address
- 115 Record Street, Frederick, MD 21701
- Phone
- (301) 663-6822
- Fax
- (301) 662-0105
Annual test volume the lab reported
- Waived tests
- 131
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- All About Kids Pediatrics, LLCCertificate of Waiver, Physician office21D2254570
- Andochick MD PACertificate of Waiver, Ambulatory surgery center21D2326286
- Andochick Surg CTR LLC DBA Phys Surg CTR FrederickCertificate of Waiver, Ambulatory surgery center21D0981377
- Anne Arundel DermatolgyCertificate for Provider-Performed Microscopy Procedures, Physician office21D2205959
- Anne Arundel DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office21D2158963
- Aspr Mission Support CenterCertificate of Compliance, Other21D1048321
- Asthma & Allergy Center LLCCertificate of Waiver, Physician office21D2304540
Related
Questions
What is the CLIA number for Record Street Home in Frederick?
21D0220647, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Record Street Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0220647 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.