CLIA lab

CLIA 21D0926884: Medstar Shah Medical Group Philip J Bean Med CTR

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

CLIA number 21D0926884 belongs to Medstar Shah Medical Group Philip J Bean Med CTR in Hollywood, MD.

Certificate of Compliance, effective October 28, 2025, expires October 27, 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 Compliance
Certificate effective
October 28, 2025
Certificate expiration
October 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 3, 1997
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
21D0926884
Lab name
Medstar Shah Medical Group Philip J Bean Med CTR
Address
24035 Three Notch Road, Attn Lab/c/o Amit Shah, Hollywood, MD 20636
Phone
(301) 373-7989
Fax
(301) 373-6900

Annual test volume the lab reported

Waived tests
2,000
Other nonwaived tests
950,440
Total
952,440

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

Affiliated CLIA numbers

Other labs in Hollywood, MD

Related

Questions

What is the CLIA number for Medstar Shah Medical Group Philip J Bean Med CTR in Hollywood?

21D0926884, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Medstar Shah Medical Group Philip J Bean Med CTR hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 21D0926884 expire?

The CMS file lists October 27, 2027 as the certificate expiration date; the certificate took effect October 28, 2025.

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