CLIA lab
CLIA 21D2130720: Wellness Source LLC
Hyattsville, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2130720 belongs to Wellness Source LLC in Hyattsville, MD.
Certificate of Waiver, effective May 16, 2025, expires May 15, 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 16, 2025
- Certificate expiration
- May 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 16, 2017
- Facility type
- Other practitioner
- 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
- 21D2130720
- Lab name
- Wellness Source LLC
- Address
- 4301 Garden City Drive Suite 304, Hyattsville, MD 20785
- Phone
- (301) 235-0060
- Fax
- (240) 324-7720
Annual test volume the lab reported
- Waived tests
- 250
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 Wellness Source LLC in Hyattsville?
21D2130720, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellness Source LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2130720 expire?
The CMS file lists May 15, 2027 as the certificate expiration date; the certificate took effect May 16, 2025.