CLIA lab
CLIA 21D0871583: Roger B Ingham
Riverdale, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0871583 belongs to Roger B Ingham in Riverdale, MD.
Certificate for Provider-Performed Microscopy Procedures, effective June 4, 2025, expires June 3, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 4, 2025
- Certificate expiration
- June 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 4, 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
- 21D0871583
- Lab name
- Roger B Ingham
- Address
- 6510 Kenilworth Ave, Riverdale, MD 20737
- Phone
- (301) 927-2711
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Riverdale, MD
- Crescent Cities CenterCertificate of Waiver, Skilled nursing or nursing facility21D0957194
- East Pharmacy LLC T/A Pines Pharm & Med EquipCertificate of Waiver, Pharmacy21D2250406
- Edge Family Medicine LLCCertificate of Waiver, Physician office21D2274819
- Octapharma Plasma IncCertificate of Accreditation, Other21D2187695
- PG County Endoscopy Center LLCCertificate of Waiver, Ambulatory surgery center21D2272259
- Riverdale Park Pediatrics PCCertificate of Compliance, Physician office21D0210275
- Southern Maryland Medical GroupCertificate of Waiver, Physician office21D2214692
- Suresh Kumar Muttath LLCCertificate of Waiver, Physician office21D1054321
- Walgreens #19312Certificate of Waiver, Pharmacy21D2293323
Related
Questions
What is the CLIA number for Roger B Ingham in Riverdale?
21D0871583, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Roger B Ingham hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 21D0871583 expire?
The CMS file lists June 3, 2027 as the certificate expiration date; the certificate took effect June 4, 2025.