CLIA lab
CLIA 21D1028729: Theodore Wells-Green MD
Damascus, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1028729 belongs to Theodore Wells-Green MD in Damascus, MD.
Certificate of Waiver, effective August 2, 2026, expires August 1, 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
- August 2, 2026
- Certificate expiration
- August 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 2, 2004
- 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
- 21D1028729
- Lab name
- Theodore Wells-Green MD
- Address
- 9886-A Main Street, Damascus, MD 20872
- Phone
- (301) 368-3660
- Fax
- (301) 368-3652
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Simmonds Martin Helmbrecht LLCCertificate for Provider-Performed Microscopy Procedures, Physician office21D0888674
Related
Questions
What is the CLIA number for Theodore Wells-Green MD in Damascus?
21D1028729, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Theodore Wells-Green MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1028729 expire?
The CMS file lists August 1, 2028 as the certificate expiration date; the certificate took effect August 2, 2026.