CLIA lab
CLIA 21D0909946: Medstar Ambulatory Services Mitchellville
Mitchellville, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0909946 belongs to Medstar Ambulatory Services Mitchellville in Mitchellville, MD.
Certificate of Waiver, effective November 25, 2024, expires November 24, 2026.
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
- November 25, 2024
- Certificate expiration
- November 24, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 22, 1995
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 21D0909946
- Lab name
- Medstar Ambulatory Services Mitchellville
- Address
- 12158 Central Avenue, Mitchellville, MD 20721
- Phone
- (301) 430-2700
- Fax
- (301) 430-2751
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mitchellville, MD
- Collington Episcopal Life CareCertificate of Waiver, Skilled nursing or nursing facility21D0678713
- Fresenius Kidney Care Capitol ArenaCertificate of Waiver, End stage renal disease dialysis facility21D2280108
- Holy Cross Dialysis Center at WoodmoreCertificate of Waiver, Community clinic21D1040406
- Metro Asthma & Allergy Centers LLCCertificate of Waiver, Physician office21D2328974
- The Kreative Health Group, IncCertificate of Waiver, Health fair21D2112470
- Villa Rosa Nursing and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility21D0692415
- Visual EyesCertificate of Waiver, Physician office21D2056662
Related
Questions
What is the CLIA number for Medstar Ambulatory Services Mitchellville in Mitchellville?
21D0909946, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medstar Ambulatory Services Mitchellville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0909946 expire?
The CMS file lists November 24, 2026 as the certificate expiration date; the certificate took effect November 25, 2024.