CLIA lab
CLIA 21D2064558: Medstar Medical Group at Charlotte Hall
Charlotte Hall, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2064558 belongs to Medstar Medical Group at Charlotte Hall in Charlotte Hall, MD.
Certificate of Waiver, effective September 23, 2025, expires September 22, 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
- September 23, 2025
- Certificate expiration
- September 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 22, 2013
- 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
- 21D2064558
- Lab name
- Medstar Medical Group at Charlotte Hall
- Address
- 29955 Three Notch Road Ste 100, Charlotte Hall, MD 20622
- Phone
- (301) 997-0611
- Fax
- (301) 475-7730
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Charlotte Hall, MD
- Charlotte Hall CbocCertificate of Accreditation, Community clinic21D0987068
- Charlotte Hall Veterans HomeCertificate of Waiver, Skilled nursing or nursing facility21D0714593
- Medstar Med Group Womens Health at Charlotte HallCertificate of Waiver, Physician office21D2297099
- Medstar Shah Medical GRP ST Mary's Medical CenterCertificate of Waiver, Physician office21D0209483
- Medstar Urgent Care LLCCertificate of Waiver, Other21D2115931
- Pyramid Walden LLCCertificate of Waiver, Other21D2103574
- Um Crmg Primary Care Charlotte HallCertificate of Waiver, Physician office21D2348750
- Walgreens #17672Certificate of Waiver, Pharmacy21D2293375
- Winters Chiropractic & Physical Therapy, IncCertificate of Waiver, Physician office21D2071352
Related
Questions
What is the CLIA number for Medstar Medical Group at Charlotte Hall in Charlotte Hall?
21D2064558, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medstar Medical Group at Charlotte Hall hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2064558 expire?
The CMS file lists September 22, 2027 as the certificate expiration date; the certificate took effect September 23, 2025.