CLIA lab
CLIA 21D0861497: Benjamin Larry Jenkins JR MD
La Plata, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D0861497 belongs to Benjamin Larry Jenkins JR MD in La Plata, MD.
Certificate for Provider-Performed Microscopy Procedures, effective September 1, 2026, expires August 31, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 11, 1993
- 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
- 21D0861497
- Lab name
- Benjamin Larry Jenkins JR MD
- Address
- 111 Lagrange Avenue, La Plata, MD 20646
- Phone
- (301) 934-2887
- Fax
- (301) 539-3948
Annual test volume the lab reported
- Waived tests
- 360
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Charles Co Detention CTR C/O Primecare Medical IncCertificate of Waiver, Prison21D2040215
- Charles County Adult Day ServicesCertificate of Waiver, Other21D0898937
- Civista Clinical Services LLCCertificate of Waiver, Ambulatory surgery center21D2342255
- Civista Clinical Services LLC DBA Umcrmg EndoscopyCertificate of Waiver, Ambulatory surgery center21D2230266
- Complete Care LaplataCertificate of Waiver, Skilled nursing or nursing facility21D0874570
- Giant Pharmacy #339Certificate of Waiver, Pharmacy21D2129600
- La Plata DialysisCertificate of Waiver, End stage renal disease dialysis facility21D2144795
Related
Questions
What is the CLIA number for Benjamin Larry Jenkins JR MD in La Plata?
21D0861497, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Benjamin Larry Jenkins JR MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 21D0861497 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.