CLIA lab
CLIA 21D2037639: Sam's Medical Laboratory LLC
Montgomery Village, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2037639 belongs to Sam's Medical Laboratory LLC in Montgomery Village, MD.
Certificate of Compliance, effective June 20, 2025, expires June 19, 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 Compliance
- Certificate effective
- June 20, 2025
- Certificate expiration
- June 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 5, 2012
- Facility type
- Independent
- 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
- 21D2037639
- Lab name
- Sam's Medical Laboratory LLC
- Address
- 19614 Club House Road, Montgomery Village, MD 20886
- Phone
- (301) 963-0519
- Fax
- (301) 963-0513
Annual test volume the lab reported
- Waived tests
- 200
- Other nonwaived tests
- 1,200
- Total
- 1,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Montgomery Village, MD
- Capital Healthcare Mso Inc DBA Closeknit MontgomerCertificate of Waiver, Physician office21D2068596
- Clarksburg Pediatrics LLCCertificate of Waiver, Physician office21D2105584
- DR Brown-Primary Care LLCCertificate of Waiver, Physician office21D2338486
- Middlebrook Pediatrics LLCCertificate of Waiver, Physician office21D2033466
- Montgomery Village Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility21D0896923
- Sunrise at Montgomery VillageCertificate of Waiver, Assisted living facility21D0897337
Related
Questions
What is the CLIA number for Sam's Medical Laboratory LLC in Montgomery Village?
21D2037639, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Medical Laboratory LLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 21D2037639 expire?
The CMS file lists June 19, 2027 as the certificate expiration date; the certificate took effect June 20, 2025.