CLIA lab

CLIA 21D0884319: Autumn Lake Healthcare at Waugh Chapel

Gambrills, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 21D0884319 belongs to Autumn Lake Healthcare at Waugh Chapel in Gambrills, MD.

Certificate of Waiver, effective March 29, 2026, expires March 28, 2028.

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
March 29, 2026
Certificate expiration
March 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 5, 1994
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
21D0884319
Lab name
Autumn Lake Healthcare at Waugh Chapel
Address
1221 Waugh Chapel Road, Gambrills, MD 21054
Phone
(410) 923-2020
Fax
(410) 949-0825

Annual test volume the lab reported

Waived tests
4,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Gambrills, MD

Related

Questions

What is the CLIA number for Autumn Lake Healthcare at Waugh Chapel in Gambrills?

21D0884319, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Autumn Lake Healthcare at Waugh Chapel hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D0884319 expire?

The CMS file lists March 28, 2028 as the certificate expiration date; the certificate took effect March 29, 2026.

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