CLIA lab
CLIA 21D0686875: MMG Montgomery Pediatrics
Olney, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0686875 belongs to MMG Montgomery Pediatrics in Olney, MD.
Certificate of Waiver, effective April 24, 2025, expires April 23, 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
- April 24, 2025
- Certificate expiration
- April 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 7, 1995
- Facility type
- Physician office
- 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
- 21D0686875
- Lab name
- MMG Montgomery Pediatrics
- Address
- 18109 Prince Philip Drive Ste 375, Olney, MD 20832
- Phone
- (301) 774-5800
- Fax
- (855) 778-6918
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Family Healthcare, PCCertificate of Waiver, Physician office21D2144994
- Family Medical CenterCertificate of Waiver, Physician office21D0882168
- Giant Pharmacy #2317Certificate of Waiver, Pharmacy21D2169820
- Harbor Chase of OlneyCertificate of Waiver, Assisted living facility21D2342934
- Harris Teeter Pharmacy #97-0403Certificate of Waiver, Other21D2155493
- Maryland Oncology Hematology OlneyCertificate of Compliance, Physician office21D0211975
- Mclmhp Inc DBA Proyecto Salud ClinicCertificate for Provider-Performed Microscopy Procedures, Community clinic21D2019131
Related
Questions
What is the CLIA number for MMG Montgomery Pediatrics in Olney?
21D0686875, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does MMG Montgomery Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0686875 expire?
The CMS file lists April 23, 2027 as the certificate expiration date; the certificate took effect April 24, 2025.