CLIA lab
CLIA 21D2317297: Khadeja Family Practice LLC
Frederick, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2317297 belongs to Khadeja Family Practice LLC in Frederick, MD.
Certificate of Waiver, effective January 22, 2025, expires January 21, 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
- January 22, 2025
- Certificate expiration
- January 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 2025
- 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
- 21D2317297
- Lab name
- Khadeja Family Practice LLC
- Address
- 5 Hillcrest Dr #B103, Frederick, MD 21703
- Phone
- (240) 439-5619
- Fax
- (240) 597-1196
Annual test volume the lab reported
- Waived tests
- 500
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 Khadeja Family Practice LLC in Frederick?
21D2317297, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Khadeja Family Practice LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2317297 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.