CLIA lab
CLIA 21D2344964: Locust Lodge I
Pasadena, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2344964 belongs to Locust Lodge I in Pasadena, MD.
Certificate of Waiver, effective June 3, 2026, expires June 2, 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
- June 3, 2026
- Certificate expiration
- June 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 3, 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
- 21D2344964
- Lab name
- Locust Lodge I
- Address
- 184 Meadow Rd, Pasadena, MD 21122
- Phone
- (410) 255-7160
- Fax
- (410) 255-8999
Annual test volume the lab reported
- Waived tests
- 2,190
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Chesapeake Research GroupCertificate of Waiver, Physician office21D1025116
- Evolve Health PartnersCertificate of Waiver, Other practitioner21D2282133
- Evolve Life Centers Iop, LLCCertificate of Waiver, Other21D2146177
- Evolve Life Centers Iop, LLCCertificate of Waiver, Other21D2280777
- Foot and Ankle Specialist of the Mid AtlanticCertificate of Waiver, Physician office21D2325679
Related
Questions
What is the CLIA number for Locust Lodge I in Pasadena?
21D2344964, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Locust Lodge I hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2344964 expire?
The CMS file lists June 2, 2028 as the certificate expiration date; the certificate took effect June 3, 2026.