CLIA lab
CLIA 21D2101795: Tidewater Dermatology
Berlin, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2101795 belongs to Tidewater Dermatology in Berlin, MD.
Certificate for Provider-Performed Microscopy Procedures, effective September 10, 2025, expires September 9, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- September 10, 2025
- Certificate expiration
- September 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 10, 2015
- 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
- 21D2101795
- Lab name
- Tidewater Dermatology
- Address
- 314 Franklin Ave, Suite 401, Berlin, MD 21811
- Phone
- (410) 641-2222
- Fax
- (844) 715-9464
Annual test volume the lab reported
- Waived tests
- 150
- Provider-performed microscopy tests
- 100
- Total
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Berlin, MD
- Anne Arundel DermatologyCertificate of Compliance, Physician office21D2142636
- Berlin Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility21D0649929
- Berlin Nursing and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility21D1012031
- Cardiac and Pulmonary Rehab III/ Adult FitnessCertificate of Waiver, Comprehensive outpatient rehab facility21D1075667
- Chesapeake Pediatrics & Adolescent Ass, PACertificate of Waiver, Physician office21D2138615
- Chesapeake Urology Associates, LLCCertificate of Waiver, Physician office21D0717283
- Clearway Pain SolutionsCertificate of Waiver, Physician office21D2333948
- Delmarva Endoscopy CenterCertificate of Waiver, Ambulatory surgery center21D2166701
- Delmarva Spine and Pain LLCCertificate of Waiver, Ambulatory surgery center21D2338028
- Grace Center for Maternal and Women's HealthCertificate of Waiver, Other21D2045403
Related
Questions
What is the CLIA number for Tidewater Dermatology in Berlin?
21D2101795, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tidewater Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 21D2101795 expire?
The CMS file lists September 9, 2027 as the certificate expiration date; the certificate took effect September 10, 2025.