CLIA lab

CLIA 21D2251039: Prafullkumar Patel MD LLC

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

CLIA number 21D2251039 belongs to Prafullkumar Patel MD LLC in Brooklyn Park, MD.

Certificate of Waiver, effective February 1, 2026, expires January 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 of Waiver
Certificate effective
February 1, 2026
Certificate expiration
January 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 1, 2022
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
21D2251039
Lab name
Prafullkumar Patel MD LLC
Address
4600 Ritchie Highway, Brooklyn Park, MD 21225
Phone
(410) 789-1469
Fax
(888) 846-0469

Annual test volume the lab reported

Waived tests
400

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

Other labs in Brooklyn Park, MD

Related

Questions

What is the CLIA number for Prafullkumar Patel MD LLC in Brooklyn Park?

21D2251039, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prafullkumar Patel MD LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D2251039 expire?

The CMS file lists January 31, 2028 as the certificate expiration date; the certificate took effect February 1, 2026.

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