CLIA lab
CLIA 21D2206389: Peridot Primary Care LLC
Clarksburg, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2206389 belongs to Peridot Primary Care LLC in Clarksburg, MD.
Certificate of Waiver, effective December 18, 2024, expires December 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 18, 2024
- Certificate expiration
- December 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 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
- 21D2206389
- Lab name
- Peridot Primary Care LLC
- Address
- 23202 Brewers Tavern Way, Clarksburg, MD 20871
- Phone
- (301) 215-2309
- Fax
- (855) 942-3275
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.
Other labs in Clarksburg, MD
- Clarksburg Pediatrics LLCCertificate of Waiver, Physician office21D2105586
- Clarksburg Urgent CareCertificate of Waiver, Physician office21D2218798
- Harris Teeter Pharmacy #97-0409Certificate of Waiver, Other21D2155486
- Innovative Urgent Care-ClarksburgCertificate of Waiver, Other21D2330058
- Simmonds Martin Helmbrecht ChtdCertificate for Provider-Performed Microscopy Procedures, Physician office21D2123229
Related
Questions
What is the CLIA number for Peridot Primary Care LLC in Clarksburg?
21D2206389, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peridot Primary Care LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2206389 expire?
The CMS file lists December 17, 2026 as the certificate expiration date; the certificate took effect December 18, 2024.