21D2039282 CLIA NUMBER - PERSONAL GENOME DIAGNOSTICS INC

Laboratory Demographics

  • CLIA Code: 21D2039282
  • Facility Name: PERSONAL GENOME DIAGNOSTICS INC
  • Facility Address: 3600 BOSTON STREET #10
    BALTIMORE, MD
    ZIP 21224
  • Facility Phone: 240 278-7350
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. RONALD M. PRZYGODZKI
  • NPI Number: 1043558992
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 21D2039282
LAB Type Independent
Facility Name PERSONAL GENOME DIAGNOSTICS INC
Street 3600 BOSTON STREET #10
City BALTIMORE
State MD
ZIP 21224
Phone 240 278-7350
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Independent
Lab Director DR. RONALD M. PRZYGODZKI

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