CLIA lab
CLIA 21D2170476: Act Health Integrated Services, LLC
Gaithersburg, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2170476 belongs to Act Health Integrated Services, LLC in Gaithersburg, MD.
Certificate of Waiver, effective August 13, 2025, expires August 12, 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 13, 2025
- Certificate expiration
- August 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 13, 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
- 21D2170476
- Lab name
- Act Health Integrated Services, LLC
- Address
- 800 S Frederick Ave #208, Gaithersburg, MD 20877
- Phone
- (301) 679-5770
- Fax
- (301) 235-1520
Annual test volume the lab reported
- Waived tests
- 1,000
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 Act Health Integrated Services, LLC in Gaithersburg?
21D2170476, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Act Health Integrated Services, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2170476 expire?
The CMS file lists August 12, 2027 as the certificate expiration date; the certificate took effect August 13, 2025.