CLIA lab
CLIA 21D1043020: Holy Cross Health Clinic at Gaithersburg
Gaithersburg, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1043020 belongs to Holy Cross Health Clinic at Gaithersburg in Gaithersburg, MD.
Certificate of Waiver, effective May 2, 2026, expires May 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
- May 2, 2026
- Certificate expiration
- May 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 14, 2005
- Facility type
- Community clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 21D1043020
- Lab name
- Holy Cross Health Clinic at Gaithersburg
- Address
- 220 Perry Pkwy Ste 5, Gaithersburg, MD 20877
- Phone
- (301) 949-4242
- Fax
- (301) 949-8041
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Gaithersburg, MD
- A M Gohari MDCertificate for Provider-Performed Microscopy Procedures, Physician office21D0212893
- Act Health Integrated Services, LLCCertificate of Waiver, Physician office21D2170476
- Adh Inc DBA Rainbow of MCCertificate of Waiver, Other21D0984154
- Adh, Inc DBA Rainbow Gardens AdhsCertificate of Waiver, Other21D1101032
- Advanced Functional Health and WellnessCertificate of Waiver, Other practitioner21D2227757
- Adventist Healthcare Lifework StrategiesCertificate of Waiver, Health fair21D2172539
- Ahc-Adventist Med Grp-Montgomery VillageCertificate of Waiver, Physician office21D0943315
- Alan E Gober MDCertificate of Compliance, Physician office21D0212976
- American Health Associates LLCCertificate of Waiver, Physician office21D2332529
- Autumn Health Inc DBA Interim Home HealthCertificate of Waiver, Home health agency21D2301411
Related
Questions
What is the CLIA number for Holy Cross Health Clinic at Gaithersburg in Gaithersburg?
21D1043020, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Holy Cross Health Clinic at Gaithersburg hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1043020 expire?
The CMS file lists May 1, 2028 as the certificate expiration date; the certificate took effect May 2, 2026.