CLIA lab

CLIA 21D1075667: Cardiac and Pulmonary Rehab III/ Adult Fitness

Berlin, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 21D1075667 belongs to Cardiac and Pulmonary Rehab III/ Adult Fitness in Berlin, MD.

Certificate of Waiver, effective December 2, 2025, expires December 1, 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
December 2, 2025
Certificate expiration
December 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 25, 2007
Facility type
Comprehensive outpatient rehab facility
Ownership (control type)
Private
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
21D1075667
Lab name
Cardiac and Pulmonary Rehab III/ Adult Fitness
Address
11101 Cathage Rd Suite 103, Berlin, MD 21811
Phone
(410) 641-4748
Fax
(410) 641-4750

Annual test volume the lab reported

Waived tests
1,000

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 Cardiac and Pulmonary Rehab III/ Adult Fitness in Berlin?

21D1075667, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cardiac and Pulmonary Rehab III/ Adult Fitness hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D1075667 expire?

The CMS file lists December 1, 2027 as the certificate expiration date; the certificate took effect December 2, 2025.

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