CLIA lab
CLIA 21D1054612: Medstar Pediatrics at Perry Hall
Perry Hall, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1054612 belongs to Medstar Pediatrics at Perry Hall in Perry Hall, MD.
Certificate of Waiver, effective May 25, 2026, expires May 24, 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 25, 2026
- Certificate expiration
- May 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 25, 2006
- Facility type
- Physician office
- 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
- 21D1054612
- Lab name
- Medstar Pediatrics at Perry Hall
- Address
- 5009 Honeygo Center Drive Ste 225, Perry Hall, MD 21128
- Phone
- (443) 725-2100
- Fax
- (443) 725-2121
Annual test volume the lab reported
- Waived tests
- 1,050
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Medstar Pediatrics at Perry Hall in Perry Hall?
21D1054612, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medstar Pediatrics at Perry Hall hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1054612 expire?
The CMS file lists May 24, 2028 as the certificate expiration date; the certificate took effect May 25, 2026.