CLIA lab

CLIA 21D2221431: Madeliene Elaine LLC

Chevy Chase, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 21D2221431 belongs to Madeliene Elaine LLC in Chevy Chase, MD.

Certificate for Provider-Performed Microscopy Procedures, effective April 21, 2025, expires April 20, 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 for Provider-Performed Microscopy Procedures
Certificate effective
April 21, 2025
Certificate expiration
April 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 21, 2021
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
21D2221431
Lab name
Madeliene Elaine LLC
Address
5530 Wisconsin Avenue #612, Chevy Chase, MD 20815
Phone
(412) 638-8585
Fax
(202) 519-3840

Annual test volume the lab reported

Waived tests
12
Provider-performed microscopy tests
12
Total
24

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Madeliene Elaine LLC in Chevy Chase?

21D2221431, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Madeliene Elaine LLC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 21D2221431 expire?

The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.

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