CLIA lab
CLIA 39D1046312: Evergreen Adult Medicine
Thurmont, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1046312 belongs to Evergreen Adult Medicine in Thurmont, MD.
Certificate of Waiver, effective June 9, 2025, expires June 8, 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
- June 9, 2025
- Certificate expiration
- June 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 5, 2005
- 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
- 39D1046312
- Lab name
- Evergreen Adult Medicine
- Address
- 20 Frederick Rd, Thurmont, MD 21788
- Phone
- (301) 979-9636
- Fax
- (717) 338-9070
Annual test volume the lab reported
- Waived tests
- 5,000
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 Evergreen Adult Medicine in Thurmont?
39D1046312, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Adult Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1046312 expire?
The CMS file lists June 8, 2027 as the certificate expiration date; the certificate took effect June 9, 2025.