CLIA lab
CLIA 21D1072465: Family Medical Center LLC
Mount Airy, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1072465 belongs to Family Medical Center LLC in Mount Airy, MD.
Certificate of Waiver, effective August 17, 2025, expires August 16, 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
- August 17, 2025
- Certificate expiration
- August 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2007
- Facility type
- Other practitioner
- 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
- 21D1072465
- Lab name
- Family Medical Center LLC
- Address
- 1502 South Main Street Suite 206, Mount Airy, MD 21771
- Phone
- (301) 829-1887
- Fax
- (301) 829-7907
Annual test volume the lab reported
- Waived tests
- 3,000
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 Family Medical Center LLC in Mount Airy?
21D1072465, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Medical Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1072465 expire?
The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.