CLIA lab

CLIA 21D2279618: Modern Dermatology of Maryland LLC

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

CLIA number 21D2279618 belongs to Modern Dermatology of Maryland LLC in Annapolis, MD.

Certificate of Compliance, effective March 8, 2026, expires March 7, 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 Compliance
Certificate effective
March 8, 2026
Certificate expiration
March 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 5, 2023
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
21D2279618
Lab name
Modern Dermatology of Maryland LLC
Address
2568A Riva Road Suite 102, Annapolis, MD 21401
Phone
(410) 216-0993
Fax
(410) 237-6106

Annual test volume the lab reported

Waived tests
25
Provider-performed microscopy tests
25
Other nonwaived tests
50
Total
100

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

Affiliated CLIA numbers

Other labs in Annapolis, MD

Related

Questions

What is the CLIA number for Modern Dermatology of Maryland LLC in Annapolis?

21D2279618, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Modern Dermatology of Maryland LLC hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 21D2279618 expire?

The CMS file lists March 7, 2028 as the certificate expiration date; the certificate took effect March 8, 2026.

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