CLIA lab
CLIA 21D0927258: Alice Tanner MD PC
Glen Burnie, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0927258 belongs to Alice Tanner MD PC in Glen Burnie, MD.
Certificate of Waiver, effective April 14, 2025, expires April 13, 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 Waiver
- Certificate effective
- April 14, 2025
- Certificate expiration
- April 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 14, 1997
- Facility type
- Physician office
- 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
- 21D0927258
- Lab name
- Alice Tanner MD PC
- Address
- 1404 South Crain Highway Suite 109, Glen Burnie, MD 21061
- Phone
- (410) 768-2231
- Fax
- (410) 760-4522
Annual test volume the lab reported
- Waived tests
- 1,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Anne Arundel DermatologyCertificate of Compliance, Physician office21D2043930
- Anne Arundel Dermatology PACertificate of Compliance, Physician office21D0685344
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- Arundel Medical Group IncCertificate for Provider-Performed Microscopy Procedures, Other21D0215036
Related
Questions
What is the CLIA number for Alice Tanner MD PC in Glen Burnie?
21D0927258, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Alice Tanner MD PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0927258 expire?
The CMS file lists April 13, 2027 as the certificate expiration date; the certificate took effect April 14, 2025.