CLIA lab
CLIA 21D1040406: Holy Cross Dialysis Center at Woodmore
Mitchellville, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1040406 belongs to Holy Cross Dialysis Center at Woodmore in Mitchellville, MD.
Certificate of Waiver, effective June 17, 2025, expires June 16, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 17, 2025
- Certificate expiration
- June 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 9, 2005
- Facility type
- Community clinic
- Ownership (control type)
- Private
- 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
- 21D1040406
- Lab name
- Holy Cross Dialysis Center at Woodmore
- Address
- 11721 Woodmore Road Ste 190, Mitchellville, MD 20721
- Phone
- (301) 754-7321
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mitchellville, MD
- Collington Episcopal Life CareCertificate of Waiver, Skilled nursing or nursing facility21D0678713
- Fresenius Kidney Care Capitol ArenaCertificate of Waiver, End stage renal disease dialysis facility21D2280108
- Medstar Ambulatory Services MitchellvilleCertificate of Waiver, Physician office21D0909946
- Metro Asthma & Allergy Centers LLCCertificate of Waiver, Physician office21D2328974
- The Kreative Health Group, IncCertificate of Waiver, Health fair21D2112470
- Villa Rosa Nursing and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility21D0692415
- Visual EyesCertificate of Waiver, Physician office21D2056662
Related
Questions
What is the CLIA number for Holy Cross Dialysis Center at Woodmore in Mitchellville?
21D1040406, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Holy Cross Dialysis Center at Woodmore hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1040406 expire?
The CMS file lists June 16, 2027 as the certificate expiration date; the certificate took effect June 17, 2025.