21D2298189 CLIA NUMBER - COLLAB DIAGNOSTIC LLC

Laboratory Demographics

  • CLIA Code: 21D2298189
  • Facility Name: COLLAB DIAGNOSTIC LLC
  • Facility Address: 750 MAIN STREET #300A
    REISTERSTOWN, MD
    ZIP 21136
  • Facility Phone: 410 634-0943
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BRYANT BELL
  • NPI Number: 1568214179
  • Taxonomy: 207ZP0105X - Pathology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2298189
LAB Type Independent
Facility Name COLLAB DIAGNOSTIC LLC
Street 750 MAIN STREET #300A
City REISTERSTOWN
State MD
ZIP 21136
Phone 410 634-0943
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Independent
Lab Director BRYANT BELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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