CLIA lab

CLIA 21D1013985: Preventive Care Network Services PC

Fort Washington, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 21D1013985 belongs to Preventive Care Network Services PC in Fort Washington, MD.

Certificate of Waiver, effective September 28, 2024, expiration date September 27, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 28, 2024
Certificate expiration
September 27, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
June 23, 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
21D1013985
Lab name
Preventive Care Network Services PC
Address
11701 Livingston Rd Ste 308, Fort Washington, MD 20744
Phone
(301) 292-6161
Fax
(301) 292-7810

Annual test volume the lab reported

Waived tests
1,500

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 Preventive Care Network Services PC in Fort Washington?

21D1013985, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Preventive Care Network Services PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D1013985 expire?

The CMS file lists September 27, 2026 as the certificate expiration date; the certificate took effect September 28, 2024.

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