CLIA lab
CLIA 21D2017698: Jose E Gonzalez MD PA
Eldersburg, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2017698 belongs to Jose E Gonzalez MD PA in Eldersburg, MD.
Certificate of Waiver, effective December 13, 2024, expires December 12, 2026.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 13, 2024
- Certificate expiration
- December 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 2010
- 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
- 21D2017698
- Lab name
- Jose E Gonzalez MD PA
- Address
- 1643 Liberty Road Unit 106, Eldersburg, MD 21784
- Phone
- (410) 795-4020
- Fax
- (410) 795-2733
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Eldersburg, MD
- BW Primary Care LLCCertificate of Waiver, Physician office21D1095040
- Capital Womens Care- EldersburgCertificate for Provider-Performed Microscopy Procedures, Physician office21D2039591
- Carroll Health Group Endo EldersburgCertificate of Waiver, Physician office21D2110912
- Carroll Pediatric CenterCertificate of Waiver, Physician office21D0220936
- Carroll Primary Care PACertificate for Provider-Performed Microscopy Procedures, Physician office21D0896228
- Center for Total Eye CareCertificate of Waiver, Physician office21D2105200
- Eldersburg Optometry LLCCertificate of Waiver, Physician office21D2317995
- Expresscare of EldersburgCertificate for Provider-Performed Microscopy Procedures, Physician office21D1088091
- Family Medical Associates-Carroll Health GroupCertificate for Provider-Performed Microscopy Procedures, Physician office21D1031230
- Jhcp Gyn/Ob EldersburgCertificate for Provider-Performed Microscopy Procedures, Physician office21D2277572
Related
Questions
What is the CLIA number for Jose E Gonzalez MD PA in Eldersburg?
21D2017698, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jose E Gonzalez MD PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2017698 expire?
The CMS file lists December 12, 2026 as the certificate expiration date; the certificate took effect December 13, 2024.