CLIA lab

CLIA 21D0220865: Tri-State Community Health Center

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

CLIA number 21D0220865 belongs to Tri-State Community Health Center in Hancock, MD.

Certificate for Provider-Performed Microscopy Procedures, 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 for Provider-Performed Microscopy Procedures
Certificate effective
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 29, 1994
Facility type
Community clinic
Ownership (control type)
Private
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
21D0220865
Lab name
Tri-State Community Health Center
Address
130 West High Street, Hancock, MD 21750
Phone
(301) 678-7256
Fax
(301) 678-5797

Annual test volume the lab reported

Waived tests
3,293

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 Tri-State Community Health Center in Hancock?

21D0220865, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Tri-State Community Health Center hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 21D0220865 expire?

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

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