CLIA lab

CLIA 21D1090056: Frederick Pediatric Associates

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

CLIA number 21D1090056 belongs to Frederick Pediatric Associates in Frederick, MD.

Certificate of Waiver, effective October 2, 2024, expiration date October 1, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
October 2, 2024
Certificate expiration
October 1, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 2, 2008
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
21D1090056
Lab name
Frederick Pediatric Associates
Address
6550 Mercantile Drive East Suite 106, Frederick, MD 21703
Phone
(301) 694-0606
Fax
(301) 662-6928

Annual test volume the lab reported

Waived tests
230

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Frederick, MD

Related

Questions

What is the CLIA number for Frederick Pediatric Associates in Frederick?

21D1090056, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Frederick Pediatric Associates hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D1090056 expire?

The CMS file lists October 1, 2026 as the certificate expiration date; the certificate took effect October 2, 2024.

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