CLIA lab

CLIA 21D2170408: Advanced Radiology- Pomona Square

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

CLIA number 21D2170408 belongs to Advanced Radiology- Pomona Square in Pikesville, MD.

Certificate of Waiver, effective August 12, 2025, expires August 11, 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
August 12, 2025
Certificate expiration
August 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 12, 2019
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
21D2170408
Lab name
Advanced Radiology- Pomona Square
Address
1700 Reisterstown Rd Suite 112, Pikesville, MD 21208
Phone
(443) 436-1245
Fax
(443) 436-1500

Annual test volume the lab reported

Waived tests
240

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 Advanced Radiology- Pomona Square in Pikesville?

21D2170408, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Advanced Radiology- Pomona Square hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D2170408 expire?

The CMS file lists August 11, 2027 as the certificate expiration date; the certificate took effect August 12, 2025.

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