CLIA lab
CLIA 21D2200940: Interventional Pain and Spine Care LLC
Ijamsville, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2200940 belongs to Interventional Pain and Spine Care LLC in Ijamsville, MD.
Certificate of Waiver, effective November 18, 2024, expires November 17, 2026.
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
- November 18, 2024
- Certificate expiration
- November 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 2020
- 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
- 21D2200940
- Lab name
- Interventional Pain and Spine Care LLC
- Address
- 3280 Urbana Pike #207, Ijamsville, MD 21754
- Phone
- (301) 874-3431
- Fax
- (949) 655-8624
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Frederick Health LaboratoryCertificate of Waiver, Other21D2302796
- Frederick Hlth Med GRP- Endocrin & Thyroid SpecCertificate of Waiver, Physician office21D2214623
- Frederick Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office21D0986033
- Urbana Gi Endoscopy Center LLCCertificate of Waiver, Ambulatory surgery center21D1076517
- Will Surgical ArtsCertificate of Waiver, Ambulatory surgery center21D1070108
Related
Questions
What is the CLIA number for Interventional Pain and Spine Care LLC in Ijamsville?
21D2200940, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Interventional Pain and Spine Care LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2200940 expire?
The CMS file lists November 17, 2026 as the certificate expiration date; the certificate took effect November 18, 2024.