21D2107502 CLIA NUMBER - DIAMOND INTEGRATED COMPANY

Laboratory Demographics

  • CLIA Code: 21D2107502
  • Facility Name: DIAMOND INTEGRATED COMPANY
  • Facility Address: 6005 LANDOVER ROAD #104B
    CHEVERLY, MD
    ZIP 20785
  • Facility Phone: 301 583-0130
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSSANNA WRIGHT
  • NPI Number: 1912371709
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 21D2107502
LAB Type Physician Office
Facility Name DIAMOND INTEGRATED COMPANY
Street 6005 LANDOVER ROAD #104B
City CHEVERLY
State MD
ZIP 20785
Phone 301 583-0130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director ROSSANNA WRIGHT

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