CLIA lab
CLIA 21D2310137: Carnegie-Kisco Senior Living
Gaithersburg, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2310137 belongs to Carnegie-Kisco Senior Living in Gaithersburg, MD.
Certificate of Waiver, effective August 27, 2026, expires August 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
- August 27, 2026
- Certificate expiration
- August 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 27, 2024
- Facility type
- Assisted living facility
- 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
- 21D2310137
- Lab name
- Carnegie-Kisco Senior Living
- Address
- 10120 Washingtonian Blvd, Gaithersburg, MD 20878
- Phone
- (240) 690-2734
- Fax
- (240) 981-4004
Annual test volume the lab reported
- Waived tests
- 5,840
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Alan E Gober MDCertificate of Compliance, Physician office21D0212976
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Related
Questions
What is the CLIA number for Carnegie-Kisco Senior Living in Gaithersburg?
21D2310137, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Carnegie-Kisco Senior Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2310137 expire?
The CMS file lists August 26, 2028 as the certificate expiration date; the certificate took effect August 27, 2026.