CLIA lab

CLIA 21D2076259: Ccacc Health Center

Gaithersburg, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 21D2076259 belongs to Ccacc Health Center in Gaithersburg, MD.

Certificate of Waiver, effective April 15, 2026, expires April 14, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
April 15, 2026
Certificate expiration
April 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 15, 2014
Facility type
Community clinic
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
21D2076259
Lab name
Ccacc Health Center
Address
9298 Gaither Rd, Gaithersburg, MD 20877
Phone
(240) 393-5950
Fax
(240) 773-0365

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Gaithersburg, MD

Related

Questions

What is the CLIA number for Ccacc Health Center in Gaithersburg?

21D2076259, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ccacc Health Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D2076259 expire?

The CMS file lists April 14, 2028 as the certificate expiration date; the certificate took effect April 15, 2026.

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