CLIA lab
CLIA 21D0955037: Antietam Pediatric & Adolescent Care
Hagerstown, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0955037 belongs to Antietam Pediatric & Adolescent Care in Hagerstown, MD.
Certificate for Provider-Performed Microscopy Procedures, effective December 17, 2024, expires December 16, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 17, 2024
- Certificate expiration
- December 16, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 1998
- 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
- 21D0955037
- Lab name
- Antietam Pediatric & Adolescent Care
- Address
- 1161 Omega Drive, Hagerstown, MD 21740
- Phone
- (301) 393-2600
- Fax
- (301) 393-2614
Annual test volume the lab reported
- Waived tests
- 1,200
- Provider-performed microscopy tests
- 100
- Total
- 1,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Antietam Pediatric & Adolescent Care in Hagerstown?
21D0955037, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Antietam Pediatric & Adolescent Care hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 21D0955037 expire?
The CMS file lists December 16, 2026 as the certificate expiration date; the certificate took effect December 17, 2024.