CLIA lab
CLIA 21D2105586: Clarksburg Pediatrics LLC
Clarksburg, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2105586 belongs to Clarksburg Pediatrics LLC in Clarksburg, 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
- 21D2105586
- Lab name
- Clarksburg Pediatrics LLC
- Address
- 23218 Brewers Tavern Way, Clarksburg, MD 20871
- Phone
- (301) 869-6461
- 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 Clarksburg, MD
- Clarksburg Urgent CareCertificate of Waiver, Physician office21D2218798
- Harris Teeter Pharmacy #97-0409Certificate of Waiver, Other21D2155486
- Innovative Urgent Care-ClarksburgCertificate of Waiver, Other21D2330058
- Peridot Primary Care LLCCertificate of Waiver, Physician office21D2206389
- Simmonds Martin Helmbrecht ChtdCertificate for Provider-Performed Microscopy Procedures, Physician office21D2123229
Related
Questions
What is the CLIA number for Clarksburg Pediatrics LLC in Clarksburg?
21D2105586, 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 21D2105586 expire?
The CMS file lists November 30, 2027 as the certificate expiration date; the certificate took effect December 1, 2025.