CLIA lab
CLIA 21D0879983: Autumn Lake Healthcare at Spa Creek
Annapolis, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0879983 belongs to Autumn Lake Healthcare at Spa Creek in Annapolis, MD.
Certificate of Waiver, effective December 3, 2025, expires December 2, 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
- December 3, 2025
- Certificate expiration
- December 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 21D0879983
- Lab name
- Autumn Lake Healthcare at Spa Creek
- Address
- 35 Milkshake Lane, Annapolis, MD 21403
- Phone
- (410) 269-5100
- Fax
- (410) 269-5453
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Autumn Lake Healthcare at Spa CreekCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Autumn Lake Healthcare at Spa Creek in Annapolis?
21D0879983, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Autumn Lake Healthcare at Spa Creek hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0879983 expire?
The CMS file lists December 2, 2027 as the certificate expiration date; the certificate took effect December 3, 2025.