21D2251039 CLIA NUMBER - PRAFULLKUMAR PATEL MD LLC

Laboratory Demographics

  • CLIA Code: 21D2251039
  • Facility Name: PRAFULLKUMAR PATEL MD LLC
  • Facility Address: 4600 RITCHIE HIGHWAY
    BROOKLYN PARK, MD
    ZIP 21225
  • Facility Phone: 410 789-1469
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRAFULLKUMAR G. PATEL
  • NPI Number: 1750302154
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2251039
LAB Type Physician Office
Facility Name PRAFULLKUMAR PATEL MD LLC
Street 4600 RITCHIE HIGHWAY
City BROOKLYN PARK
State MD
ZIP 21225
Phone 410 789-1469
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director PRAFULLKUMAR G. PATEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025