CLIA lab
CLIA 21D2155502: Harris Teeter Pharmacy #97-0323
Fulton, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2155502 belongs to Harris Teeter Pharmacy #97-0323 in Fulton, MD.
Certificate of Waiver, effective October 1, 2026, expires September 30, 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
- October 1, 2026
- Certificate expiration
- September 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 1, 2018
- 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
- 21D2155502
- Lab name
- Harris Teeter Pharmacy #97-0323
- Address
- 8184 Westside Drive, Fulton, MD 20759
- Phone
- (301) 362-5765
- Fax
- (301) 362-5273
Annual test volume the lab reported
- Waived tests
- 300
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 Harris Teeter Pharmacy #97-0323 in Fulton?
21D2155502, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Harris Teeter Pharmacy #97-0323 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2155502 expire?
The CMS file lists September 30, 2028 as the certificate expiration date; the certificate took effect October 1, 2026.