CLIA lab

CLIA 21D1105196: Advanced Dermatology of Maryland

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

CLIA number 21D1105196 belongs to Advanced Dermatology of Maryland in Fort Washington, MD.

Certificate of Waiver, effective July 23, 2026, expires July 22, 2028.

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
July 23, 2026
Certificate expiration
July 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 18, 2009
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
21D1105196
Lab name
Advanced Dermatology of Maryland
Address
11701 Livingston Road Ste 302, Fort Washington, MD 20744
Phone
(407) 284-3407
Fax
(407) 284-3407

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 Advanced Dermatology of Maryland in Fort Washington?

21D1105196, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Advanced Dermatology of Maryland hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D1105196 expire?

The CMS file lists July 22, 2028 as the certificate expiration date; the certificate took effect July 23, 2026.

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