CLIA lab
CLIA 21D1085746: Patuxent Medical Clinic
California, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1085746 belongs to Patuxent Medical Clinic in California, MD.
Certificate of Waiver, effective January 29, 2025, expires January 28, 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
- January 29, 2025
- Certificate expiration
- January 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 25, 2008
- 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
- 21D1085746
- Lab name
- Patuxent Medical Clinic
- Address
- 23127 Three Notch Road #104, California, MD 20619
- Phone
- (301) 863-8101
- Fax
- (301) 863-8130
Annual test volume the lab reported
- Waived tests
- 2,000
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 Patuxent Medical Clinic in California?
21D1085746, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Patuxent Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1085746 expire?
The CMS file lists January 28, 2027 as the certificate expiration date; the certificate took effect January 29, 2025.