CLIA lab
CLIA 21D2165391: Ideal Pain Management LLC
Towson, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2165391 belongs to Ideal Pain Management LLC in Towson, MD.
Certificate of Waiver, effective April 26, 2025, expires April 25, 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
- April 26, 2025
- Certificate expiration
- April 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 26, 2019
- 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
- 21D2165391
- Lab name
- Ideal Pain Management LLC
- Address
- 7801 York Rd, Towson, MD 21204
- Phone
- (443) 519-5353
- Fax
- (443) 519-5317
Annual test volume the lab reported
- Waived tests
- 600
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 Ideal Pain Management LLC in Towson?
21D2165391, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ideal Pain Management LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2165391 expire?
The CMS file lists April 25, 2027 as the certificate expiration date; the certificate took effect April 26, 2025.