CLIA lab
CLIA 21D2241426: Spencer Family Practice
Glenn Dale, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2241426 belongs to Spencer Family Practice in Glenn Dale, MD.
Certificate of Waiver, effective October 28, 2025, expires October 27, 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
- October 28, 2025
- Certificate expiration
- October 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 28, 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
- 21D2241426
- Lab name
- Spencer Family Practice
- Address
- 8061 Springfield Road, Glenn Dale, MD 20769
- Phone
- (434) 390-6641
- Fax
- (240) 206-3855
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Capital City Primary and Immediate CareCertificate of Waiver, Physician office21D2201847
- Capitol Cardiology AssociatesCertificate of Waiver, Physician office21D2075425
- Childrens National Pediatricians & AssociatesCertificate of Waiver, Physician office21D2107568
- Envision Eye & Laser CenterCertificate of Waiver, Physician office21D2074338
- Issa Yusuf MDCertificate of Waiver, Ancillary test site21D2180767
- Maryland Children Health CenterCertificate of Waiver, Physician office21D1091636
- Prime Medicine LLCCertificate of Waiver, Physician office21D2089125
- Synergy Surgery CenterCertificate of Waiver, Ambulatory surgery center21D2169660
Related
Questions
What is the CLIA number for Spencer Family Practice in Glenn Dale?
21D2241426, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Spencer Family Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2241426 expire?
The CMS file lists October 27, 2027 as the certificate expiration date; the certificate took effect October 28, 2025.