CLIA lab
CLIA 21D1040901: Carroll Park Healthcare
Baltimore, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1040901 belongs to Carroll Park Healthcare in Baltimore, MD.
Certificate of Waiver, effective January 7, 2026, expires January 6, 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
- January 7, 2026
- Certificate expiration
- January 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 19, 2005
- Facility type
- Skilled nursing or nursing facility
- 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
- 21D1040901
- Lab name
- Carroll Park Healthcare
- Address
- 3330 Wilkens Avenue, Baltimore, MD 21229
- Phone
- (410) 525-1544
- Fax
- (410) 525-3146
Annual test volume the lab reported
- Waived tests
- 18,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Carroll Park HealthcareCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Carroll Park Healthcare in Baltimore?
21D1040901, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Carroll Park Healthcare hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1040901 expire?
The CMS file lists January 6, 2028 as the certificate expiration date; the certificate took effect January 7, 2026.