CLIA lab
CLIA 21D2278685: Premise Health of Maryland Medical PC
Williamsport, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2278685 belongs to Premise Health of Maryland Medical PC in Williamsport, MD.
Certificate of Waiver, effective March 22, 2025, expires March 21, 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
- March 22, 2025
- Certificate expiration
- March 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 2023
- 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
- 21D2278685
- Lab name
- Premise Health of Maryland Medical PC
- Address
- 16305 Elliott Parkway, Williamsport, MD 21795
- Phone
- (240) 313-3818
- Fax
- (240) 673-3823
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Williamsport, MD
- County Medical Transport IncCertificate of Waiver, Ambulance21D0982638
- Karen Jill Ciccarelli MD PCCertificate of Waiver, Physician office21D1065542
- Ludwick Laser and Surgery CenterCertificate of Waiver, Ambulatory surgery center21D2105370
- Meritus Family Medicine WilliamsportCertificate for Provider-Performed Microscopy Procedures, Physician office21D0712197
- Premise Health of Maryland Medical P CCertificate of Waiver, Physician office21D2113943
Related
Questions
What is the CLIA number for Premise Health of Maryland Medical PC in Williamsport?
21D2278685, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Maryland Medical PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2278685 expire?
The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.