CLIA lab
CLIA 21D0874529: Autumn Lake Healthcare at Loch Raven
Baltimore, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0874529 belongs to Autumn Lake Healthcare at Loch Raven in Baltimore, MD.
Certificate of Waiver, effective August 11, 2025, expires August 10, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 11, 2025
- Certificate expiration
- August 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 11, 1993
- Facility type
- Other
- 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
- 21D0874529
- Lab name
- Autumn Lake Healthcare at Loch Raven
- Address
- 8720 Emge Road, Baltimore, MD 21234
- Phone
- (410) 668-1961
- Fax
- (410) 882-3114
Annual test volume the lab reported
- Waived tests
- 750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Baltimore, MD
- 9106 Philadelphia Road Ambulatory Surgery CTR, LLCCertificate of Waiver, Ambulatory surgery center21D2024551
- A Step Forward, IncCertificate of Waiver, Other21D2000130
- A&e Mobile Healthcare IncCertificate of Waiver, Community clinic21D2348348
- A1 In-Home Primary Care, LLCCertificate of Waiver, Other practitioner21D2212398
- Aaron D Goldberg M D/Mindy Landau CrnpCertificate of Waiver, Physician office21D0217948
- Absolute Care at BaltimoreCertificate of Waiver, Federally qualified health center21D2166699
- Accelevir Diagnostics LLCCertificate of Accreditation, Independent21D2206866
- Active Day MD Inc/Active Day of BaltimoreCertificate of Waiver, Other21D1052212
- Activities Adult Medical Day CareCertificate of Waiver, Other21D2176497
- Addiction Treatment of MarylandCertificate of Waiver, Other21D2177159
Related
Questions
What is the CLIA number for Autumn Lake Healthcare at Loch Raven in Baltimore?
21D0874529, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Autumn Lake Healthcare at Loch Raven hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0874529 expire?
The CMS file lists August 10, 2027 as the certificate expiration date; the certificate took effect August 11, 2025.