CLIA lab
CLIA 21D2340078: Fernbrook Manor
Odenton, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2340078 belongs to Fernbrook Manor in Odenton, MD.
Certificate of Waiver, effective March 12, 2026, expires March 11, 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
- March 12, 2026
- Certificate expiration
- March 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 12, 2026
- 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
- 21D2340078
- Lab name
- Fernbrook Manor
- Address
- 1190 Monie Rd, Odenton, MD 21113
- Phone
- (410) 551-5913
- Fax
- (410) 551-3978
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Fresenius Medical Care-OdentonCertificate of Waiver, End stage renal disease dialysis facility21D2060684
- Giant Pharmacy #2311Certificate of Waiver, Pharmacy21D2113584
- Greater Maryland Pain ManagementCertificate of Waiver, Physician office21D2084974
- Horizon Health Services LLCCertificate of Waiver, Physician office21D2293708
- Ion Medical ConsultantsCertificate of Waiver, Physician office21D2146178
- JH Univ SCH of Med Ob/GynCertificate for Provider-Performed Microscopy Procedures, Physician office21D1068468
- Jhcp at Odenton ICertificate for Provider-Performed Microscopy Procedures, Physician office21D0890732
Related
Questions
What is the CLIA number for Fernbrook Manor in Odenton?
21D2340078, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fernbrook Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2340078 expire?
The CMS file lists March 11, 2028 as the certificate expiration date; the certificate took effect March 12, 2026.