CLIA lab
CLIA 21D2040215: Charles Co Detention CTR C/O Primecare Medical Inc
La Plata, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2040215 belongs to Charles Co Detention CTR C/O Primecare Medical Inc in La Plata, MD.
Certificate of Waiver, effective January 18, 2025, expires January 17, 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
- January 18, 2025
- Certificate expiration
- January 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 25, 2012
- Facility type
- Prison
- Ownership (control type)
- Government, county
- 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
- 21D2040215
- Lab name
- Charles Co Detention CTR C/O Primecare Medical Inc
- Address
- 6905 Crain Highway, La Plata, MD 20646
- Phone
- (301) 932-3092
- Fax
- (301) 932-3139
Annual test volume the lab reported
- Waived tests
- 14,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in La Plata, MD
- Advanced Dermatology of MarylandCertificate of Compliance, Physician office21D2175030
- Alpas Wellness La PlataCertificate of Waiver, Other21D2299348
- Benjamin Larry Jenkins JR MDCertificate for Provider-Performed Microscopy Procedures, Physician office21D0861497
- Bma of La PlataCertificate of Waiver, End stage renal disease dialysis facility21D0649624
- Charles County Adult Day ServicesCertificate of Waiver, Other21D0898937
- Civista Clinical Services LLCCertificate of Waiver, Ambulatory surgery center21D2342255
- Civista Clinical Services LLC DBA Umcrmg EndoscopyCertificate of Waiver, Ambulatory surgery center21D2230266
- Complete Care LaplataCertificate of Waiver, Skilled nursing or nursing facility21D0874570
- Giant Pharmacy #339Certificate of Waiver, Pharmacy21D2129600
- La Plata DialysisCertificate of Waiver, End stage renal disease dialysis facility21D2144795
Related
Questions
What is the CLIA number for Charles Co Detention CTR C/O Primecare Medical Inc in La Plata?
21D2040215, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Charles Co Detention CTR C/O Primecare Medical Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2040215 expire?
The CMS file lists January 17, 2027 as the certificate expiration date; the certificate took effect January 18, 2025.