CLIA lab
CLIA 21D2231407: Kelly Goodman NP & Associates
Bethesda, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2231407 belongs to Kelly Goodman NP & Associates in Bethesda, MD.
Certificate of Waiver, effective August 3, 2025, expires August 2, 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 of Waiver
- Certificate effective
- August 3, 2025
- Certificate expiration
- August 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 3, 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
- 21D2231407
- Lab name
- Kelly Goodman NP & Associates
- Address
- 4702 Sangamore Rd Suite S207, Bethesda, MD 20816
- Phone
- (202) 684-7167
- Fax
- (240) 483-0441
Annual test volume the lab reported
- Waived tests
- 12,000
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 Kelly Goodman NP & Associates in Bethesda?
21D2231407, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kelly Goodman NP & Associates hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2231407 expire?
The CMS file lists August 2, 2027 as the certificate expiration date; the certificate took effect August 3, 2025.