CLIA lab
CLIA 21D2113943: Premise Health of Maryland Medical P C
Williamsport, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2113943 belongs to Premise Health of Maryland Medical P C in Williamsport, MD.
Certificate of Waiver, effective June 3, 2026, expires June 2, 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 3, 2026
- Certificate expiration
- June 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 3, 2016
- 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
- 21D2113943
- Lab name
- Premise Health of Maryland Medical P C
- Address
- 16505 Virginia Avenue, Williamsport, MD 21795
- Phone
- (814) 913-0035
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Williamsport, MD
- County Medical Transport IncCertificate of Waiver, Ambulance21D0982638
- Karen Jill Ciccarelli MD PCCertificate of Waiver, Physician office21D1065542
- Ludwick Laser and Surgery CenterCertificate of Waiver, Ambulatory surgery center21D2105370
- Meritus Family Medicine WilliamsportCertificate for Provider-Performed Microscopy Procedures, Physician office21D0712197
- Premise Health of Maryland Medical PCCertificate of Waiver, Physician office21D2278685
Related
Questions
What is the CLIA number for Premise Health of Maryland Medical P C in Williamsport?
21D2113943, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Maryland Medical P C hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2113943 expire?
The CMS file lists June 2, 2028 as the certificate expiration date; the certificate took effect June 3, 2026.