CLIA lab
CLIA 21D2128233: Lifebridge Suburban Phys GRP LLC DBA Gaurav Kumar
Lutherville, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 21D2128233 belongs to Lifebridge Suburban Phys GRP LLC DBA Gaurav Kumar in Lutherville, MD.
Certificate of Waiver, effective October 25, 2025, expires October 24, 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
- October 25, 2025
- Certificate expiration
- October 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 28, 2017
- 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
- 21D2128233
- Lab name
- Lifebridge Suburban Phys GRP LLC DBA Gaurav Kumar
- Address
- 12221 Tullamore Rd, Lutherville, MD 21093
- Phone
- (410) 308-7865
- Fax
- (410) 308-7818
Annual test volume the lab reported
- Waived tests
- 1,500
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 Lifebridge Suburban Phys GRP LLC DBA Gaurav Kumar in Lutherville?
21D2128233, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lifebridge Suburban Phys GRP LLC DBA Gaurav Kumar hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 21D2128233 expire?
The CMS file lists October 24, 2027 as the certificate expiration date; the certificate took effect October 25, 2025.