CLIA lab
CLIA 21D2235484: Tribute Health & Revival LLC
Clinton, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2235484 belongs to Tribute Health & Revival LLC in Clinton, MD.
Certificate of Waiver, effective September 9, 2025, expires September 8, 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
- September 9, 2025
- Certificate expiration
- September 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 9, 2021
- Facility type
- Other practitioner
- 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
- 21D2235484
- Lab name
- Tribute Health & Revival LLC
- Address
- 7801 Old Branch Ave Suite 411, Clinton, MD 20735
- Phone
- (301) 835-2683
- Fax
- (301) 235-1625
Annual test volume the lab reported
- Waived tests
- 80
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Clinton, MD
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- CRH MD Management, LLC DBA Patriot Urgent Care CLNCertificate of Waiver, Physician office21D2256842
- Capital Women's CareCertificate for Provider-Performed Microscopy Procedures, Physician office21D0210166
- Childrens Pediatricians & Assoc- ClintonCertificate of Waiver, Physician office21D2124073
- Cityworld Family Practice LLCCertificate of Waiver, Other practitioner21D2230662
- DR John HakimCertificate of Waiver, Physician office21D2104160
- Eye DesignCertificate of Waiver, Physician office21D2059464
- Fresenius Medical Care SurrattsCertificate of Waiver, End stage renal disease dialysis facility21D2036767
- Future Care PineviewCertificate of Waiver, Skilled nursing or nursing facility21D0211085
- Greater Maryland Eye Physicians and SurgeonsCertificate of Waiver, Physician office21D2112270
Related
Questions
What is the CLIA number for Tribute Health & Revival LLC in Clinton?
21D2235484, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tribute Health & Revival LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2235484 expire?
The CMS file lists September 8, 2027 as the certificate expiration date; the certificate took effect September 9, 2025.