CLIA lab
CLIA 21D1010496: George H Wathen MD Facp
Waldorf, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1010496 belongs to George H Wathen MD Facp in Waldorf, MD.
Certificate for Provider-Performed Microscopy Procedures, effective June 29, 2026, expires June 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 29, 2026
- Certificate expiration
- June 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 17, 2003
- 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
- 21D1010496
- Lab name
- George H Wathen MD Facp
- Address
- 11345 Pembrooke Square Ste 103, Waldorf, MD 20603
- Phone
- (301) 645-8144
- Fax
- (301) 870-8392
Annual test volume the lab reported
- Waived tests
- 200
- Provider-performed microscopy tests
- 200
- Total
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Waldorf, MD
- Above & Beyond PediatricsCertificate of Waiver, Physician office21D2264951
- Adeteju Ogunrinde Childrens Health CTRCertificate of Waiver, Physician office21D1063542
- Advance Integrated HealthCertificate of Waiver, Physician office21D2273148
- Arcpoint Labs Southern MarylandCertificate of Waiver, Independent21D2197903
- Ars An Affiliate of Maryland Imaging NetworkCertificate of Waiver, Other21D2041795
- Ashvin J Patel MDCertificate of Waiver, Physician office21D0902141
- Asthma Allergy and Sinus CenterCertificate of Waiver, Physician office21D2019973
- Cambridge Pediatrics LLCCertificate for Provider-Performed Microscopy Procedures, Physician office21D0968631
- Cancer and Blood Disorders Treatment CenterCertificate of Compliance, Physician office21D0985015
- Capital Healthcare Mso Inc DBA Closeknit WaldorfCertificate of Waiver, Physician office21D2336582
Related
Questions
What is the CLIA number for George H Wathen MD Facp in Waldorf?
21D1010496, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does George H Wathen MD Facp hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 21D1010496 expire?
The CMS file lists June 28, 2028 as the certificate expiration date; the certificate took effect June 29, 2026.