21D2294705 CLIA NUMBER - NYS DIAGNOSTICS & SUPPLY

Laboratory Demographics

  • CLIA Code: 21D2294705
  • Facility Name: NYS DIAGNOSTICS & SUPPLY
  • Facility Address: 14816 PHYSICIANS LANE #252
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 443 430-0204
  • Facility Type: Other - DIAGNOSTIC TESTING LAB
  • Facility Type: Waiver
  • Lab Director: MINATA S. SADDY
  • NPI Number: 1447061346
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 21D2294705
LAB Type Other - DIAGNOSTIC TESTING LAB
Facility Name NYS DIAGNOSTICS & SUPPLY
Street 14816 PHYSICIANS LANE #252
City ROCKVILLE
State MD
ZIP 20850
Phone 443 430-0204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Other - DIAGNOSTIC TESTING LAB
Lab Director MINATA S. SADDY

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