CLIA lab
CLIA 21D2250406: East Pharmacy LLC T/A Pines Pharm & Med Equip
Riverdale, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2250406 belongs to East Pharmacy LLC T/A Pines Pharm & Med Equip in Riverdale, MD.
Certificate of Waiver, effective January 27, 2026, expires January 26, 2028.
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
- January 27, 2026
- Certificate expiration
- January 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 27, 2022
- Facility type
- Pharmacy
- 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
- 21D2250406
- Lab name
- East Pharmacy LLC T/A Pines Pharm & Med Equip
- Address
- 6003 66th Avenue Suite 102, Riverdale, MD 20737
- Phone
- (301) 459-6211
- Fax
- (301) 459-6217
Annual test volume the lab reported
- Waived tests
- 100,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Edge Family Medicine LLCCertificate of Waiver, Physician office21D2274819
- Octapharma Plasma IncCertificate of Accreditation, Other21D2187695
- PG County Endoscopy Center LLCCertificate of Waiver, Ambulatory surgery center21D2272259
- Riverdale Park Pediatrics PCCertificate of Compliance, Physician office21D0210275
- Roger B InghamCertificate for Provider-Performed Microscopy Procedures, Physician office21D0871583
- Southern Maryland Medical GroupCertificate of Waiver, Physician office21D2214692
- Suresh Kumar Muttath LLCCertificate of Waiver, Physician office21D1054321
- Walgreens #19312Certificate of Waiver, Pharmacy21D2293323
Related
Questions
What is the CLIA number for East Pharmacy LLC T/A Pines Pharm & Med Equip in Riverdale?
21D2250406, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does East Pharmacy LLC T/A Pines Pharm & Med Equip hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2250406 expire?
The CMS file lists January 26, 2028 as the certificate expiration date; the certificate took effect January 27, 2026.