CLIA lab
CLIA 21D1105328: Prince Frederick Surgery Center LLC
Prince Frederick, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1105328 belongs to Prince Frederick Surgery Center LLC in Prince Frederick, MD.
Certificate of Waiver, effective September 22, 2025, expires September 21, 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
- September 22, 2025
- Certificate expiration
- September 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 22, 2009
- 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
- 21D1105328
- Lab name
- Prince Frederick Surgery Center LLC
- Address
- 70 Sherry Lane, Prince Frederick, MD 20678
- Phone
- (443) 486-4230
- Fax
- (443) 486-4231
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Prince Frederick, MD
- Anne Arundel Dermatology, PACertificate of Compliance, Physician office21D0688709
- Ars An Affiliate of Maryland Imaging NetworkCertificate of Waiver, Other21D2041797
- Bayside Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office21D1051159
- Bhargesh P Mehta MD Padba Mehta PediatricsCertificate of Waiver, Physician office21D0982635
- Birthright of Prince FrederickCertificate of Waiver, Other21D0904615
- CRH MD Management LLC DBA Patriot Urgent Care- PRFCertificate of Waiver, Other21D2160088
- Calvert County Health DepartmentCertificate for Provider-Performed Microscopy Procedures, Other21D0687437
- Calvert D D Assoc Endo and Surg CTR LLCCertificate of Waiver, Ambulatory surgery center21D2144898
- Calvert Dermatology LLCCertificate of Compliance, Physician office21D1107685
- Calvert Internal Medicine GroupCertificate of Accreditation, Physician office21D0689728
Related
Questions
What is the CLIA number for Prince Frederick Surgery Center LLC in Prince Frederick?
21D1105328, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prince Frederick Surgery Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1105328 expire?
The CMS file lists September 21, 2027 as the certificate expiration date; the certificate took effect September 22, 2025.