21D2300163 CLIA NUMBER - ADITUS HEALTH

Laboratory Demographics

  • CLIA Code: 21D2300163
  • Facility Name: ADITUS HEALTH
  • Facility Address: 9375 CHESAPEAKE STREET STE 219
    LA PLATA, MD
    ZIP 20646
  • Facility Phone: 240 763-0843
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CASEEM TYLER
  • NPI Number: 1922699198
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2300163
LAB Type Community Clinic
Facility Name ADITUS HEALTH
Street 9375 CHESAPEAKE STREET STE 219
City LA PLATA
State MD
ZIP 20646
Phone 240 763-0843
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Community Clinic
Lab Director CASEEM TYLER

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