CLIA lab
CLIA 21D2089125: Prime Medicine LLC
Glenn Dale, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2089125 belongs to Prime Medicine LLC in Glenn Dale, MD.
Certificate of Waiver, effective December 19, 2024, expires December 18, 2026.
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
- December 19, 2024
- Certificate expiration
- December 18, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 19, 2014
- 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
- 21D2089125
- Lab name
- Prime Medicine LLC
- Address
- 12150 Annapoils Road Suite 308, Glenn Dale, MD 20769
- Phone
- (301) 565-2250
- Fax
- (301) 565-2159
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Avalon Professional PharmacyCertificate of Waiver, Physician office21D2308888
- Capital City Primary and Immediate CareCertificate of Waiver, Physician office21D2201847
- Capitol Cardiology AssociatesCertificate of Waiver, Physician office21D2075425
- Childrens National Pediatricians & AssociatesCertificate of Waiver, Physician office21D2107568
- Envision Eye & Laser CenterCertificate of Waiver, Physician office21D2074338
- Issa Yusuf MDCertificate of Waiver, Ancillary test site21D2180767
- Maryland Children Health CenterCertificate of Waiver, Physician office21D1091636
- Spencer Family PracticeCertificate of Waiver, Physician office21D2241426
- Synergy Surgery CenterCertificate of Waiver, Ambulatory surgery center21D2169660
Related
Questions
What is the CLIA number for Prime Medicine LLC in Glenn Dale?
21D2089125, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prime Medicine LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2089125 expire?
The CMS file lists December 18, 2026 as the certificate expiration date; the certificate took effect December 19, 2024.