CLIA lab
CLIA 21D2039749: Five Star Premier Residences in Chevy Chase
Chevy Chase, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2039749 belongs to Five Star Premier Residences in Chevy Chase in Chevy Chase, MD.
Certificate of Waiver, effective April 17, 2026, expires April 16, 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
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
- April 17, 2026
- Certificate expiration
- April 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 17, 2012
- Facility type
- Assisted living facility
- 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
- 21D2039749
- Lab name
- Five Star Premier Residences in Chevy Chase
- Address
- 8100 Connecticut Ave, Chevy Chase, MD 20815
- Phone
- (301) 907-9894
- Fax
- (301) 907-3908
Annual test volume the lab reported
- Waived tests
- 82,962
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Chevy Chase, MD
- Advanced Ambulatory Surgery Center LLCCertificate of Waiver, Ambulatory surgery center21D2284970
- Ali Hendi, MD, PCCertificate of Compliance, Physician office21D1085740
- Anne Arundel DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office21D2197026
- Brighton Gardens at Friendship HgtsCertificate of Waiver, Assisted living facility21D0986762
- Bruno/Brown Plastic SurgeryCertificate of Waiver, Physician office21D2169652
- Capital Healthcare Mso Inc DBA Closeknit Chevy ChaCertificate of Waiver, Physician office21D2018015
- Capitol Medical GroupCertificate of Compliance, Physician office21D0720027
- Care Reproductive HealthCertificate of Waiver, Physician office21D0715437
- Center for Advanced GYN & UrogynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office21D2109037
- Children's National Pediatrician Assocs Chevy ChasCertificate of Waiver, Physician office21D0211709
Related
Questions
What is the CLIA number for Five Star Premier Residences in Chevy Chase in Chevy Chase?
21D2039749, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Five Star Premier Residences in Chevy Chase hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2039749 expire?
The CMS file lists April 16, 2028 as the certificate expiration date; the certificate took effect April 17, 2026.