CLIA lab

CLIA 21D2171019: Serenity Manor Adult Day Services

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

CLIA number 21D2171019 belongs to Serenity Manor Adult Day Services in Edgewood, MD.

Certificate of Waiver, effective August 23, 2025, expires August 22, 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 23, 2025
Certificate expiration
August 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 23, 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
21D2171019
Lab name
Serenity Manor Adult Day Services
Address
1319 Woodbridge Station Way Ste 102, Edgewood, MD 21040
Phone
(410) 994-8988
Fax
(410) 844-5686

Annual test volume the lab reported

Waived tests
450

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 Serenity Manor Adult Day Services in Edgewood?

21D2171019, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Serenity Manor Adult Day Services hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D2171019 expire?

The CMS file lists August 22, 2027 as the certificate expiration date; the certificate took effect August 23, 2025.

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