CLIA lab
CLIA 21D2079757: Park Pediatrics- Gaithersburg
Gaithersburg, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2079757 belongs to Park Pediatrics- Gaithersburg in Gaithersburg, MD.
Certificate of Waiver, effective June 24, 2026, expires June 23, 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
- June 24, 2026
- Certificate expiration
- June 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 2014
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 21D2079757
- Lab name
- Park Pediatrics- Gaithersburg
- Address
- 501 N Frederick Ave #320, Gaithersburg, MD 20877
- Phone
- (240) 801-4903
- Fax
- (240) 801-4905
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Gaithersburg, MD
- A M Gohari MDCertificate for Provider-Performed Microscopy Procedures, Physician office21D0212893
- Act Health Integrated Services, LLCCertificate of Waiver, Physician office21D2170476
- Adh Inc DBA Rainbow of MCCertificate of Waiver, Other21D0984154
- Adh, Inc DBA Rainbow Gardens AdhsCertificate of Waiver, Other21D1101032
- Advanced Functional Health and WellnessCertificate of Waiver, Other practitioner21D2227757
- Adventist Healthcare Lifework StrategiesCertificate of Waiver, Health fair21D2172539
- Ahc-Adventist Med Grp-Montgomery VillageCertificate of Waiver, Physician office21D0943315
- Alan E Gober MDCertificate of Compliance, Physician office21D0212976
- American Health Associates LLCCertificate of Waiver, Physician office21D2332529
- Autumn Health Inc DBA Interim Home HealthCertificate of Waiver, Home health agency21D2301411
Related
Questions
What is the CLIA number for Park Pediatrics- Gaithersburg in Gaithersburg?
21D2079757, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Pediatrics- Gaithersburg hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2079757 expire?
The CMS file lists June 23, 2028 as the certificate expiration date; the certificate took effect June 24, 2026.