CLIA lab
CLIA 21D1015671: Tidalhealth Primary Care
Berlin, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1015671 belongs to Tidalhealth Primary Care in Berlin, MD.
Certificate of Waiver, effective August 12, 2025, expires August 11, 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
- August 12, 2025
- Certificate expiration
- August 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 12, 2003
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 21D1015671
- Lab name
- Tidalhealth Primary Care
- Address
- 10324 Old Ocean City Blvd, Berlin, MD 21811
- Phone
- (410) 629-0041
- Fax
- (410) 629-0544
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Berlin Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility21D0649929
- Berlin Nursing and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility21D1012031
- Cardiac and Pulmonary Rehab III/ Adult FitnessCertificate of Waiver, Comprehensive outpatient rehab facility21D1075667
- Chesapeake Pediatrics & Adolescent Ass, PACertificate of Waiver, Physician office21D2138615
- Chesapeake Urology Associates, LLCCertificate of Waiver, Physician office21D0717283
- Clearway Pain SolutionsCertificate of Waiver, Physician office21D2333948
- Delmarva Endoscopy CenterCertificate of Waiver, Ambulatory surgery center21D2166701
- Delmarva Spine and Pain LLCCertificate of Waiver, Ambulatory surgery center21D2338028
- Grace Center for Maternal and Women's HealthCertificate of Waiver, Other21D2045403
Related
Questions
What is the CLIA number for Tidalhealth Primary Care in Berlin?
21D1015671, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tidalhealth Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1015671 expire?
The CMS file lists August 11, 2027 as the certificate expiration date; the certificate took effect August 12, 2025.