CLIA lab
CLIA 21D2269720: Pleasant Valley Primary Care, LLC
Boonsboro, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2269720 belongs to Pleasant Valley Primary Care, LLC in Boonsboro, MD.
Certificate of Waiver, effective September 30, 2026, expires September 29, 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
- September 30, 2026
- Certificate expiration
- September 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2022
- 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
- 21D2269720
- Lab name
- Pleasant Valley Primary Care, LLC
- Address
- 20311 Lappans Rd #100, Boonsboro, MD 21713
- Phone
- (301) 573-9453
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Boonsboro, MD
- Fahrney Keedy Memorial Home IncCertificate of Waiver, Skilled nursing or nursing facility21D0883991
- Jone L Bowman Adult Day SVC CTR at Fahrney KeedyCertificate of Waiver, Other21D2173110
- South Mountain Community HealthCertificate for Provider-Performed Microscopy Procedures, Other practitioner21D1037668
- South Mountain Rehab CenterCertificate of Waiver, Skilled nursing or nursing facility21D0884318
Related
Questions
What is the CLIA number for Pleasant Valley Primary Care, LLC in Boonsboro?
21D2269720, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pleasant Valley Primary Care, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2269720 expire?
The CMS file lists September 29, 2028 as the certificate expiration date; the certificate took effect September 30, 2026.