21D2133932 CLIA NUMBER - ADVANCED DIAGNOSTIC RADIOLOGY, LLC DBA ADR LLC

Laboratory Demographics

  • CLIA Code: 21D2133932
  • Facility Name: ADVANCED DIAGNOSTIC RADIOLOGY, LLC DBA ADR LLC
  • Facility Address: 952 SETON DRIVE
    CUMBERLAND, MD
    ZIP 21502
  • Facility Phone: 301 777-3829
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONG K. KIM
  • NPI Number: 1285098509
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 21D2133932
LAB Type Physician Office
Facility Name ADVANCED DIAGNOSTIC RADIOLOGY, LLC DBA ADR LLC
Street 952 SETON DRIVE
City CUMBERLAND
State MD
ZIP 21502
Phone 301 777-3829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Physician Office
Lab Director JONG K. KIM

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