CLIA lab
CLIA 21D2173177: Giant Pharmacy #150
Gaithersburg, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2173177 belongs to Giant Pharmacy #150 in Gaithersburg, MD.
Certificate of Waiver, effective October 8, 2025, expires October 7, 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
- October 8, 2025
- Certificate expiration
- October 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 8, 2019
- Facility type
- Pharmacy
- 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
- 21D2173177
- Lab name
- Giant Pharmacy #150
- Address
- 46 Bureau Drive, Gaithersburg, MD 20878
- Phone
- (301) 840-0515
- Fax
- (844) 411-6254
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ahc-Adventist Med Grp-Montgomery VillageCertificate of Waiver, Physician office21D0943315
- Alan E Gober MDCertificate of Compliance, Physician office21D0212976
- American Health Associates LLCCertificate of Waiver, Physician office21D2332529
- Autumn Health Inc DBA Interim Home HealthCertificate of Waiver, Home health agency21D2301411
Related
Questions
What is the CLIA number for Giant Pharmacy #150 in Gaithersburg?
21D2173177, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Giant Pharmacy #150 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2173177 expire?
The CMS file lists October 7, 2027 as the certificate expiration date; the certificate took effect October 8, 2025.