CLIA lab
CLIA 21D2002985: Private Surgical Suite, LLC
Chevy Chase, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2002985 belongs to Private Surgical Suite, LLC in Chevy Chase, MD.
Certificate of Waiver, effective January 29, 2026, expires January 28, 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
- January 29, 2026
- Certificate expiration
- January 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 29, 2010
- 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
- 21D2002985
- Lab name
- Private Surgical Suite, LLC
- Address
- 5530 Wisconsin Ave #1455, Chevy Chase, MD 20815
- Phone
- (301) 656-8008
- Fax
- (301) 656-8709
Annual test volume the lab reported
- Waived tests
- 15
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 Private Surgical Suite, LLC in Chevy Chase?
21D2002985, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Private Surgical Suite, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2002985 expire?
The CMS file lists January 28, 2028 as the certificate expiration date; the certificate took effect January 29, 2026.