CLIA lab
CLIA 21D2308143: Capital Center for Functional Medicine LLC
Potomac, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2308143 belongs to Capital Center for Functional Medicine LLC in Potomac, MD.
Certificate of Waiver, effective July 23, 2026, expires July 22, 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
- July 23, 2026
- Certificate expiration
- July 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 23, 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
- 21D2308143
- Lab name
- Capital Center for Functional Medicine LLC
- Address
- 11325 Seven Locks Rd Suite 290, Potomac, MD 20854
- Phone
- (240) 507-5110
- Fax
- (844) 682-8102
Annual test volume the lab reported
- Waived tests
- 300
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 Capital Center for Functional Medicine LLC in Potomac?
21D2308143, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Capital Center for Functional Medicine LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2308143 expire?
The CMS file lists July 22, 2028 as the certificate expiration date; the certificate took effect July 23, 2026.