CLIA lab

CLIA 21D0912984: Medstar Health Primary Care at Upper Marlboro

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

CLIA number 21D0912984 belongs to Medstar Health Primary Care at Upper Marlboro in Upper Marlboro, MD.

Certificate of Waiver, effective February 28, 2026, expires February 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
February 28, 2026
Certificate expiration
February 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 3, 1996
Facility type
Physician office
Ownership (control type)
Private
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
21D0912984
Lab name
Medstar Health Primary Care at Upper Marlboro
Address
9440 Marlboro Pike Suite 200, Upper Marlboro, MD 20772
Phone
(301) 952-8614
Fax
(301) 627-1603

Annual test volume the lab reported

Waived tests
300

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

Other labs in Upper Marlboro, MD

Related

Questions

What is the CLIA number for Medstar Health Primary Care at Upper Marlboro in Upper Marlboro?

21D0912984, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Medstar Health Primary Care at Upper Marlboro hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D0912984 expire?

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

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