CLIA lab
CLIA 21D2191001: Primary Care Services at Fairhaven
Sykesville, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2191001 belongs to Primary Care Services at Fairhaven in Sykesville, MD.
Certificate of Waiver, effective September 9, 2026, expires September 8, 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
- September 9, 2026
- Certificate expiration
- September 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 2020
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 21D2191001
- Lab name
- Primary Care Services at Fairhaven
- Address
- 7200 Third Avenue, Sykesville, MD 21784
- Phone
- (410) 795-8800
- Fax
- (410) 549-1436
Annual test volume the lab reported
- Waived tests
- 1,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Copper Ridge Nursing & Assisted LivingCertificate of Waiver, Skilled nursing or nursing facility21D1027558
- DR Wilbur Kuo & Associates Internal Medicine LLCCertificate of Waiver, Physician office21D2114424
- Mountain Manor SykesvilleCertificate of Waiver, Other21D2180657
- Oakbridge Terrace Assisted Living Residence at FaiCertificate for Provider-Performed Microscopy Procedures, Community clinic21D0220942
- Springfield Hospital Center Laboratory SvcsCertificate of Waiver, Ancillary test site21D0662991
- Walmart Pharmacy 10-2436Certificate of Waiver, Pharmacy21D2158589
- Willowbrooke Court Skilled Care Center at FairhaveCertificate of Waiver, Skilled nursing or nursing facility21D1027559
Related
Questions
What is the CLIA number for Primary Care Services at Fairhaven in Sykesville?
21D2191001, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Primary Care Services at Fairhaven hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2191001 expire?
The CMS file lists September 8, 2028 as the certificate expiration date; the certificate took effect September 9, 2026.