CLIA lab
CLIA 21D2283806: CVS Pharmacy #03789
Capitol Heights, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2283806 belongs to CVS Pharmacy #03789 in Capitol Heights, MD.
Certificate of Waiver, effective June 13, 2025, expires June 12, 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
- June 13, 2025
- Certificate expiration
- June 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 13, 2023
- Facility type
- Pharmacy
- 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
- 21D2283806
- Lab name
- CVS Pharmacy #03789
- Address
- 4840 Marlboro Pike, Capitol Heights, MD 20743
- Phone
- (401) 765-1500
- Fax
- (401) 652-9857
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Concentra Medical CentersCertificate of Waiver, Physician office21D2009458
- Coral Hills DialysisCertificate of Waiver, End stage renal disease dialysis facility21D2066239
- Fresenius Kidney Care Fairmount HeightsCertificate of Waiver, End stage renal disease dialysis facility21D2171017
- Gbms Capitol HeightsCertificate for Provider-Performed Microscopy Procedures, Community clinic21D0882724
- Gerald Family Care PCCertificate of Waiver, Physician office21D0881403
- Helping Hands Adult Day ServicesCertificate of Waiver, Other21D2032529
- Lives Savers Urgent Care ClinicCertificate of Waiver, Physician office21D2318423
- Mci Diagnostic CenterCertificate of Waiver, Independent37D2228911
- Norfield Acres ICertificate of Waiver, Assisted living facility21D2095895
Related
Questions
What is the CLIA number for CVS Pharmacy #03789 in Capitol Heights?
21D2283806, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does CVS Pharmacy #03789 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2283806 expire?
The CMS file lists June 12, 2027 as the certificate expiration date; the certificate took effect June 13, 2025.