CLIA lab
CLIA 21D2179919: Smith Island Clinic
Ewell, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2179919 belongs to Smith Island Clinic in Ewell, MD.
Certificate of Waiver, effective March 4, 2026, expires March 3, 2028.
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
- March 4, 2026
- Certificate expiration
- March 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 2020
- Facility type
- Rural health clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 21D2179919
- Lab name
- Smith Island Clinic
- Address
- 20851 Caleb Jones Road, Ewell, MD 21824
- Phone
- (420) 425-2673
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.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Smith Island Clinic in Ewell?
21D2179919, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Smith Island Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2179919 expire?
The CMS file lists March 3, 2028 as the certificate expiration date; the certificate took effect March 4, 2026.