CLIA lab

CLIA 21D1076517: Urbana Gi Endoscopy Center LLC

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

CLIA number 21D1076517 belongs to Urbana Gi Endoscopy Center LLC in Ijamsville, MD.

Certificate of Waiver, effective November 16, 2025, expires November 15, 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
November 16, 2025
Certificate expiration
November 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 16, 2007
Facility type
Ambulatory surgery center
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
21D1076517
Lab name
Urbana Gi Endoscopy Center LLC
Address
3280 Urbana Pike Suite 104, Ijamsville, MD 21754
Phone
(410) 218-7767
Fax
(301) 874-6999

Annual test volume the lab reported

Waived tests
100

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 Urbana Gi Endoscopy Center LLC in Ijamsville?

21D1076517, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Urbana Gi Endoscopy Center LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D1076517 expire?

The CMS file lists November 15, 2027 as the certificate expiration date; the certificate took effect November 16, 2025.

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