CLIA lab
CLIA 21D2282951: Grove Family Medicine LLC
Drayden, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2282951 belongs to Grove Family Medicine LLC in Drayden, MD.
Certificate of Waiver, effective May 30, 2025, expires May 29, 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
- May 30, 2025
- Certificate expiration
- May 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 30, 2023
- Facility type
- Other practitioner
- 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
- 21D2282951
- Lab name
- Grove Family Medicine LLC
- Address
- 46499 Portobello Court, Drayden, MD 20630
- Phone
- (801) 920-5561
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.
Related
Questions
What is the CLIA number for Grove Family Medicine LLC in Drayden?
21D2282951, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grove Family Medicine LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2282951 expire?
The CMS file lists May 29, 2027 as the certificate expiration date; the certificate took effect May 30, 2025.