CLIA lab
CLIA 21D2322430: Jacksonville Eye Care
Phoenix, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2322430 belongs to Jacksonville Eye Care in Phoenix, MD.
Certificate of Waiver, effective April 22, 2025, expires April 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
- April 22, 2025
- Certificate expiration
- April 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 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
- 21D2322430
- Lab name
- Jacksonville Eye Care
- Address
- 3332 Paper Mill Rd, Phoenix, MD 21131
- Phone
- (410) 628-1510
- Fax
- (410) 628-1511
Annual test volume the lab reported
- Waived tests
- 100
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 Jacksonville Eye Care in Phoenix?
21D2322430, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jacksonville Eye Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2322430 expire?
The CMS file lists April 21, 2027 as the certificate expiration date; the certificate took effect April 22, 2025.