CLIA lab

CLIA 21D2299754: Headwaters Family Medicine

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

CLIA number 21D2299754 belongs to Headwaters Family Medicine in Oakland, MD.

Certificate of Waiver, effective February 27, 2026, expires February 26, 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 Waiver
Certificate effective
February 27, 2026
Certificate expiration
February 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 27, 2024
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
21D2299754
Lab name
Headwaters Family Medicine
Address
14689 Garrett Highway Suite 3, Oakland, MD 21550
Phone
(304) 777-7467

Annual test volume the lab reported

Waived tests
400

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

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Related

Questions

What is the CLIA number for Headwaters Family Medicine in Oakland?

21D2299754, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Headwaters Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D2299754 expire?

The CMS file lists February 26, 2028 as the certificate expiration date; the certificate took effect February 27, 2026.

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