CLIA lab
CLIA 21D1067055: Green Spring Internal Medicine
Lutherville, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1067055 belongs to Green Spring Internal Medicine in Lutherville, MD.
Certificate of Waiver, effective April 10, 2025, expires April 9, 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 of Waiver
- Certificate effective
- April 10, 2025
- Certificate expiration
- April 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 10, 2007
- Facility type
- Physician office
- 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
- 21D1067055
- Lab name
- Green Spring Internal Medicine
- Address
- 2360 W Joppa Rd Suite 210, Lutherville, MD 21093
- Phone
- (410) 583-2890
- Fax
- (410) 583-2891
Annual test volume the lab reported
- Waived tests
- 250
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 Green Spring Internal Medicine in Lutherville?
21D1067055, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Green Spring Internal Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1067055 expire?
The CMS file lists April 9, 2027 as the certificate expiration date; the certificate took effect April 10, 2025.