CLIA lab
CLIA 21D2119914: West Annapolis Surgery Center LLC
Annapolis, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2119914 belongs to West Annapolis Surgery Center LLC in Annapolis, MD.
Certificate of Waiver, effective October 6, 2024, expiration date October 5, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 6, 2024
- Certificate expiration
- October 5, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 2016
- Facility type
- Ambulatory surgery center
- 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
- 21D2119914
- Lab name
- West Annapolis Surgery Center LLC
- Address
- 104 Ridgely Ave Ste 301, Annapolis, MD 21401
- Phone
- (410) 266-7120
- Fax
- (410) 266-6042
Annual test volume the lab reported
- Waived tests
- 260
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for West Annapolis Surgery Center LLC in Annapolis?
21D2119914, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does West Annapolis Surgery Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2119914 expire?
The CMS file lists October 5, 2026 as the certificate expiration date; the certificate took effect October 6, 2024.