CLIA lab
CLIA 21D2130492: Fort Washington Park Pediatrics PC
Fort Washington, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2130492 belongs to Fort Washington Park Pediatrics PC in Fort Washington, MD.
Certificate of Waiver, effective May 10, 2025, expires May 9, 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
- May 10, 2025
- Certificate expiration
- May 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 10, 2017
- 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
- 21D2130492
- Lab name
- Fort Washington Park Pediatrics PC
- Address
- 12807 Old Fort Road Ste 101, Fort Washington, MD 20744
- Phone
- (301) 292-7400
- Fax
- (301) 292-7062
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 Fort Washington, MD
- Advanced Dermatology of MarylandCertificate of Waiver, Physician office21D1105196
- Adventist Healthcare Fort Washington Medical CTRCertificate of Accreditation, Hospital21D0210504
- Amg Fort Washington Primary CareCertificate of Waiver, Rural health clinic21D2148465
- Bma of Fort WashingtonCertificate of Waiver, End stage renal disease dialysis facility21D0928330
- CRH MD Management LLC DBA Patriot Urgent Care-FtwCertificate of Waiver, Physician office21D2286252
- Clearway Pain SolutionsCertificate of Waiver, Physician office21D2122508
- Community Dot LLCCertificate of Waiver, Other21D2319567
- Comprehensive Pediatric Care LLCCertificate of Waiver, Physician office21D2311512
- DR Felton P Anderson, MDCertificate of Waiver, Physician office21D0942123
- Dsi FT Washington LLD DBA US Renal Care Fort WashiCertificate of Waiver, End stage renal disease dialysis facility21D2112425
Related
Questions
What is the CLIA number for Fort Washington Park Pediatrics PC in Fort Washington?
21D2130492, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fort Washington Park Pediatrics PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2130492 expire?
The CMS file lists May 9, 2027 as the certificate expiration date; the certificate took effect May 10, 2025.