CLIA lab

CLIA 21D2140530: Luminis Health Primary Care Mitchellville RD

Bowie, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 21D2140530 belongs to Luminis Health Primary Care Mitchellville RD in Bowie, MD.

Certificate of Waiver, effective November 22, 2025, expires November 21, 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
November 22, 2025
Certificate expiration
November 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 22, 2017
Facility type
Physician office
Ownership (control type)
Private
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
21D2140530
Lab name
Luminis Health Primary Care Mitchellville RD
Address
4000 Mitchelleville Road Suite B216, Bowie, MD 20716
Phone
(301) 262-0020
Fax
(877) 623-2741

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Luminis Health Primary Care Mitchellville RD in Bowie?

21D2140530, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Luminis Health Primary Care Mitchellville RD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D2140530 expire?

The CMS file lists November 21, 2027 as the certificate expiration date; the certificate took effect November 22, 2025.

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