CLIA lab
CLIA 21D2040539: Shady Grove Minimally Invasive and Gynecology Care
Darnestown, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2040539 belongs to Shady Grove Minimally Invasive and Gynecology Care in Darnestown, MD.
Certificate for Provider-Performed Microscopy Procedures, effective December 14, 2025, expires December 13, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 14, 2025
- Certificate expiration
- December 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 3, 2012
- 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
- 21D2040539
- Lab name
- Shady Grove Minimally Invasive and Gynecology Care
- Address
- 10810 Darnestown Rd Ste 202, Darnestown, MD 20878
- Phone
- (240) 912-4546
- Fax
- (240) 912-4471
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 1,000
- Total
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Shady Grove Minimally Invasive and Gynecology Care in Darnestown?
21D2040539, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shady Grove Minimally Invasive and Gynecology Care hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 21D2040539 expire?
The CMS file lists December 13, 2027 as the certificate expiration date; the certificate took effect December 14, 2025.