CLIA lab
CLIA 21D0887046: Autumn Lake Healthcare at Alice Manor
Baltimore, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0887046 belongs to Autumn Lake Healthcare at Alice Manor in Baltimore, MD.
Certificate of Waiver, effective June 3, 2026, expires June 2, 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
- June 3, 2026
- Certificate expiration
- June 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 3, 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
- 21D0887046
- Lab name
- Autumn Lake Healthcare at Alice Manor
- Address
- 2095 Rockrose Ave, Baltimore, MD 21211
- Phone
- (410) 889-9700
- Fax
- (410) 889-9706
Care facility at this address
- Autumn Lake Healthcare at Alice ManorCMS 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 Alice Manor in Baltimore?
21D0887046, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Autumn Lake Healthcare at Alice Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0887046 expire?
The CMS file lists June 2, 2028 as the certificate expiration date; the certificate took effect June 3, 2026.