CLIA lab
CLIA 21D1106577: Maple Lawn Surgery Center LLC
Fulton, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D1106577 belongs to Maple Lawn Surgery Center LLC in Fulton, MD.
Certificate of Waiver, effective October 19, 2025, expires October 18, 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
- October 19, 2025
- Certificate expiration
- October 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 19, 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
- 21D1106577
- Lab name
- Maple Lawn Surgery Center LLC
- Address
- 7625 Maple Lawn Blvd Ste 110, Fulton, MD 20759
- Phone
- (301) 490-5025
- Fax
- (301) 490-3169
Annual test volume the lab reported
- Waived tests
- 500
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 Maple Lawn Surgery Center LLC in Fulton?
21D1106577, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maple Lawn Surgery Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D1106577 expire?
The CMS file lists October 18, 2027 as the certificate expiration date; the certificate took effect October 19, 2025.