CLIA lab
CLIA 21D0684816: Lifebridge Comm Pediatrics DBA Main ST Pediatrics
Towson, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0684816 belongs to Lifebridge Comm Pediatrics DBA Main ST Pediatrics in Towson, MD.
Certificate of Waiver, effective October 1, 2025, expires September 30, 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
- October 1, 2025
- Certificate expiration
- September 30, 2027
- 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
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 21D0684816
- Lab name
- Lifebridge Comm Pediatrics DBA Main ST Pediatrics
- Address
- 849 Fairmount Ave Suite 100A, Towson, MD 21286
- Phone
- (410) 494-1369
- Fax
- (410) 494-2737
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Towson, MD
- Advanced Dermatology of MarylandCertificate for Provider-Performed Microscopy Procedures, Physician office21D2107209
- AffirmcareCertificate of Waiver, Physician office21D2278684
- Anne Arundel DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office21D2107208
- Arden Courts of Towson MD LLCCertificate of Waiver, Assisted living facility21D1084190
- Asthma & Allergy Center LLCCertificate of Waiver, Physician office21D2304538
- BH Brightview Towson Opco LLC DBA Brightview TowsoCertificate of Waiver, Assisted living facility21D2182595
- Baltimore Co Detention CenterCertificate of Waiver, Prison21D2040186
- Baltimore Co Employee Health CTR DBA Evernorth DirCertificate of Waiver, Other21D2312941
- Baltimore Medical & Surgical Associates, PACertificate of Waiver, Physician office21D2263492
- Bayada Home Health Care IncCertificate of Waiver, Hospice21D0673866
Related
Questions
What is the CLIA number for Lifebridge Comm Pediatrics DBA Main ST Pediatrics in Towson?
21D0684816, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lifebridge Comm Pediatrics DBA Main ST Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0684816 expire?
The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.