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21D2181636 CLIA NUMBER - PERSONALIZED MEDICINE CARE DIAGNOSTIC

Laboratory Demographics

CLIA Number: 21D2181636

Facility Name: PERSONALIZED MEDICINE CARE DIAGNOSTIC

Facility Address:
20271 GOLDENROD LANE 2ND FL UNIT 2099
GERMANTOWN, MD
ZIP 20876
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Facility Phone Number: 202 531-3136

Facility Type: Independent

Certificate Type: Accreditation
NPI Number: 1093336349

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 21D2181636
LAB Type Independent
Facility Name PERSONALIZED MEDICINE CARE DIAGNOSTIC
Street 20271 GOLDENROD LANE 2ND FL UNIT 2099
City GERMANTOWN
State MD
ZIP 20876
Phone 202 531-3136
CertificateType 1
CertificateEffectiveDate 3/10/2023
CertificateExpirationDate 3/9/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024