CLIA lab
CLIA 21D1013259: Paul Ambush MD PA
Clarksville, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1013259 belongs to Paul Ambush MD PA in Clarksville, MD.
Certificate of Waiver, effective June 5, 2025, expires June 4, 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
- June 5, 2025
- Certificate expiration
- June 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 5, 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
- 21D1013259
- Lab name
- Paul Ambush MD PA
- Address
- 6100 Daylong Lane #210, Clarksville, MD 21029
- Phone
- (410) 531-7566
- Fax
- (410) 531-9790
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Maryland CVS Pharmacy LLC DBA Cvs/Pharmacy #10648Certificate of Waiver, Pharmacy21D2283803
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Related
Questions
What is the CLIA number for Paul Ambush MD PA in Clarksville?
21D1013259, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Paul Ambush MD PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1013259 expire?
The CMS file lists June 4, 2027 as the certificate expiration date; the certificate took effect June 5, 2025.