CLIA lab
CLIA 21D1082254: Advanced Radiology White Square Imaging
Baltimore, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1082254 belongs to Advanced Radiology White Square Imaging in Baltimore, 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 4, 2008
- Facility type
- Other
- 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
- 21D1082254
- Lab name
- Advanced Radiology White Square Imaging
- Address
- 9105 Franklin Square Drive, Baltimore, MD 21237
- Phone
- (443) 436-1245
- Fax
- (443) 436-1500
Annual test volume the lab reported
- Waived tests
- 180
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 Advanced Radiology White Square Imaging in Baltimore?
21D1082254, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advanced Radiology White Square Imaging hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1082254 expire?
The CMS file lists April 9, 2027 as the certificate expiration date; the certificate took effect April 10, 2025.