CLIA lab
CLIA 21D1047001: Tri-State Community Health Center
Cumberland, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1047001 belongs to Tri-State Community Health Center in Cumberland, MD.
Certificate for Provider-Performed Microscopy Procedures, effective October 25, 2025, expires October 24, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 25, 2025
- Certificate expiration
- October 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 25, 2005
- Facility type
- Federally qualified health center
- 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
- 21D1047001
- Lab name
- Tri-State Community Health Center
- Address
- 12502 Willowbrook Road Ste 550, Cumberland, MD 21502
- Phone
- (301) 723-3940
- Fax
- (301) 723-3941
Annual test volume the lab reported
- Waived tests
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Cumberland, MD
- Advanced Diagnostic Radiology, LLC DBA Adr LLCCertificate of Waiver, Physician office21D2133932
- Allaway and Parousis Urology MD PACertificate of Compliance, Physician office21D0712129
- Allegany Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center21D2090069
- Allegany County Detention CenterCertificate of Waiver, Other21D0686064
- Allegany County Health DepartmentCertificate of Waiver, Other21D2091197
- Allegany County Health DeptCertificate for Provider-Performed Microscopy Procedures, Other21D0649875
- Allegany Health Nursing and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility21D0649878
- Braddock Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office21D0692067
- CPT LLC Potomac TherapyCertificate of Waiver, Physician office21D2137898
- Center for Clinical Resource ManagementCertificate of Waiver, Other practitioner21D2059496
Related
Questions
What is the CLIA number for Tri-State Community Health Center in Cumberland?
21D1047001, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri-State Community Health Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 21D1047001 expire?
The CMS file lists October 24, 2027 as the certificate expiration date; the certificate took effect October 25, 2025.