CLIA lab
CLIA 21D2343843: Broad Manor Assisted Living Inc
Perryville, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2343843 belongs to Broad Manor Assisted Living Inc in Perryville, MD.
Certificate of Waiver, effective May 13, 2026, expires May 12, 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
- May 13, 2026
- Certificate expiration
- May 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 13, 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
- 21D2343843
- Lab name
- Broad Manor Assisted Living Inc
- Address
- 350 Broad Street, Perryville, MD 21903
- Phone
- (443) 350-1861
- Fax
- (443) 526-0090
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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Related
Questions
What is the CLIA number for Broad Manor Assisted Living Inc in Perryville?
21D2343843, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Broad Manor Assisted Living Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2343843 expire?
The CMS file lists May 12, 2028 as the certificate expiration date; the certificate took effect May 13, 2026.