21D2181636 CLIA NUMBER - PERSONALIZED MEDICINE CARE DIAGNOSTIC

Laboratory Demographics

  • CLIA Code: 21D2181636
  • Facility Name: PERSONALIZED MEDICINE CARE DIAGNOSTIC
  • Facility Address: 20271 GOLDENROD LANE 2ND FL UNIT 2099
    GERMANTOWN, MD
    ZIP 20876
  • Facility Phone: 202 531-3136
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. SHERRY DADGAR
  • NPI Number: 1093336349
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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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
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 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Independent
Lab Director DR. SHERRY DADGAR

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