CLIA lab
CLIA 21D2105584: Clarksburg Pediatrics LLC
Montgomery Village, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2105584 belongs to Clarksburg Pediatrics LLC in Montgomery Village, MD.
Certificate of Waiver, effective December 1, 2025, expires November 30, 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
- December 1, 2025
- Certificate expiration
- November 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 1, 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
- 21D2105584
- Lab name
- Clarksburg Pediatrics LLC
- Address
- 18506 Office Park Dr, Montgomery Village, MD 20886
- Phone
- (301) 869-3530
- Fax
- (301) 869-8960
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Montgomery Village, MD
- Capital Healthcare Mso Inc DBA Closeknit MontgomerCertificate of Waiver, Physician office21D2068596
- DR Brown-Primary Care LLCCertificate of Waiver, Physician office21D2338486
- Middlebrook Pediatrics LLCCertificate of Waiver, Physician office21D2033466
- Montgomery Village Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility21D0896923
- Sam's Medical Laboratory LLCCertificate of Compliance, Independent21D2037639
- Sunrise at Montgomery VillageCertificate of Waiver, Assisted living facility21D0897337
Related
Questions
What is the CLIA number for Clarksburg Pediatrics LLC in Montgomery Village?
21D2105584, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clarksburg Pediatrics LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2105584 expire?
The CMS file lists November 30, 2027 as the certificate expiration date; the certificate took effect December 1, 2025.