CLIA lab
CLIA 21D0667476: J T Lee MD PA
Havre De Grace, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0667476 belongs to J T Lee MD PA in Havre De Grace, 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
- May 17, 1993
- Facility type
- Physician office
- 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
- 21D0667476
- Lab name
- J T Lee MD PA
- Address
- 669 Revolution Street, Havre De Grace, MD 21078
- Phone
- (410) 939-2840
- Fax
- (410) 939-2329
Annual test volume the lab reported
- Waived tests
- 2,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Anne Arundel DermatologyCertificate of Compliance, Physician office21D0894223
- Ashley Addiction TreatmentCertificate of Waiver, Other21D0722552
- Chesapeake Clinical Laboratories, LLCCertificate of Accreditation, Independent21D2150643
- Citizens Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility21D0215195
- Clearway Pain SolutionsCertificate of Waiver, Physician office21D2340998
- DRS Bellantoni & Gotzmann PACertificate for Provider-Performed Microscopy Procedures, Physician office21D0678271
- Gomez, Yim & Rastogi, MD, PACertificate of Waiver, Physician office21D0215203
- Harford Primary Care LLCCertificate of Waiver, Physician office21D2099491
- Health Care for Children LLCCertificate of Waiver, Physician office21D2230660
Related
Questions
What is the CLIA number for J T Lee MD PA in Havre De Grace?
21D0667476, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does J T Lee MD PA hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 21D0667476 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.