CLIA lab

CLIA 21D2276477: Diagnostic Lab of Southern Maryland LLC

Waldorf, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 21D2276477 belongs to Diagnostic Lab of Southern Maryland LLC in Waldorf, MD.

Certificate of Waiver, effective February 9, 2025, expires February 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
February 9, 2025
Certificate expiration
February 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 9, 2023
Facility type
Other
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
21D2276477
Lab name
Diagnostic Lab of Southern Maryland LLC
Address
3985 St Charles Pkwy Ste 200E, Waldorf, MD 20602
Phone
(240) 925-9449
Fax
(240) 607-7229

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Waldorf, MD

Related

Questions

What is the CLIA number for Diagnostic Lab of Southern Maryland LLC in Waldorf?

21D2276477, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Diagnostic Lab of Southern Maryland LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D2276477 expire?

The CMS file lists February 8, 2027 as the certificate expiration date; the certificate took effect February 9, 2025.

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