CLIA lab
CLIA 21D0969879: Shady Grove Andrology Center LLC
Rockville, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0969879 belongs to Shady Grove Andrology Center LLC in Rockville, MD.
Certificate of Accreditation, effective December 13, 2024, expires December 12, 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 Accreditation
- Certificate effective
- December 13, 2024
- Certificate expiration
- December 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 2000
- Facility type
- Independent
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- The Joint Commission
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 21D0969879
- Lab name
- Shady Grove Andrology Center LLC
- Address
- 9601 Blackwell Rd Ste 400, Rockville, MD 20850
- Phone
- (301) 340-1188
Annual test volume the lab reported
- Tests under accreditation
- 3,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Dialysis Center CollingswoodCertificate of Waiver, End stage renal disease dialysis facility21D2004976
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Related
Questions
What is the CLIA number for Shady Grove Andrology Center LLC in Rockville?
21D0969879, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shady Grove Andrology Center LLC hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 21D0969879 expire?
The CMS file lists December 12, 2026 as the certificate expiration date; the certificate took effect December 13, 2024.