CLIA lab

CLIA 21D0649872: FMC South Annapolis

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

CLIA number 21D0649872 belongs to FMC South Annapolis in Annapolis, MD.

Certificate of Waiver, effective June 17, 2025, expires June 16, 2027.

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
June 17, 2025
Certificate expiration
June 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 19, 1993
Facility type
End stage renal disease dialysis 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
21D0649872
Lab name
FMC South Annapolis
Address
304 Harry S Truman Pkwy Ste H-K, Annapolis, MD 21401
Phone
(410) 224-6304
Fax
(410) 224-8341

Annual test volume the lab reported

Waived tests
365

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 FMC South Annapolis in Annapolis?

21D0649872, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does FMC South Annapolis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D0649872 expire?

The CMS file lists June 16, 2027 as the certificate expiration date; the certificate took effect June 17, 2025.

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