CLIA lab
CLIA 21D0978653: Summit Ambulatory Surgical Center
Potomac, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0978653 belongs to Summit Ambulatory Surgical Center in Potomac, MD.
Certificate of Waiver, effective September 29, 2026, expires September 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
- September 29, 2026
- Certificate expiration
- September 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2000
- 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
- 21D0978653
- Lab name
- Summit Ambulatory Surgical Center
- Address
- 12435 Park Potomac Ave Suite 410, Potomac, MD 20854
- Phone
- (866) 953-3111
- Fax
- (301) 309-9370
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Chesapeake Urology Associates, LLCCertificate of Waiver, Physician office21D0901931
- DR T Primary CareCertificate of Waiver, Physician office21D2345682
- Giant Pharmacy 198Certificate of Waiver, Pharmacy21D2121759
- HCT Dermatopathology Services Potomac Annex IICertificate of Compliance, Other21D2305198
- HCT Dermatopathology Services, Potomac MD AnnexCertificate of Compliance, Other21D1105135
- Harris Teeter Pharmacy #97-0373Certificate of Waiver, Other21D2155506
- Mclean SchoolCertificate of Waiver, School or student health service21D2205963
Related
Questions
What is the CLIA number for Summit Ambulatory Surgical Center in Potomac?
21D0978653, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Summit Ambulatory Surgical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D0978653 expire?
The CMS file lists September 28, 2028 as the certificate expiration date; the certificate took effect September 29, 2026.