CLIA lab

CLIA 21D2123579: Fenwick Landing Senior Care Community

Waldorf, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 21D2123579 belongs to Fenwick Landing Senior Care Community in Waldorf, MD.

Certificate of Waiver, effective December 27, 2024, expires December 26, 2026.

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 27, 2024
Certificate expiration
December 26, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 27, 2016
Facility type
Other
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
21D2123579
Lab name
Fenwick Landing Senior Care Community
Address
11665 Doolittle Drive, Waldorf, MD 20602
Phone
(240) 245-0616
Fax
(301) 970-2459

Annual test volume the lab reported

Waived tests
10,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Waldorf, MD

Related

Questions

What is the CLIA number for Fenwick Landing Senior Care Community in Waldorf?

21D2123579, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fenwick Landing Senior Care Community hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D2123579 expire?

The CMS file lists December 26, 2026 as the certificate expiration date; the certificate took effect December 27, 2024.

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