CLIA lab
CLIA 21D2048577: Divine Internal Medicine, LLC
North East, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2048577 belongs to Divine Internal Medicine, LLC in North East, MD.
Certificate of Waiver, effective October 18, 2024, expiration date October 17, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 18, 2024
- Certificate expiration
- October 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 18, 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
- 21D2048577
- Lab name
- Divine Internal Medicine, LLC
- Address
- 28 Flint Drive, North East, MD 21901
- Phone
- (443) 877-6194
- Fax
- (443) 877-6235
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in North East, MD
- All About Me Adult Day ProgramCertificate of Waiver, Other21D2260396
- Capricorn Health LLCCertificate of Waiver, Physician office21D2328135
- Christianacare- Gohealth of North EastCertificate of Waiver, Community clinic21D2141160
- Concentra Medical Centers- NortheastCertificate of Waiver, Physician office21D2210451
- Tri-State Health IncCertificate of Waiver, Physician office21D2171021
- Union Primary Care of NortheastCertificate of Waiver, Physician office21D0677113
Related
Questions
What is the CLIA number for Divine Internal Medicine, LLC in North East?
21D2048577, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Divine Internal Medicine, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2048577 expire?
The CMS file lists October 17, 2026 as the certificate expiration date; the certificate took effect October 18, 2024.