21D2318821 CLIA NUMBER - VITALIS DIAGNOSTICS LLC

Laboratory Demographics

  • CLIA Code: 21D2318821
  • Facility Name: VITALIS DIAGNOSTICS LLC
  • Facility Address: 8950 ROUTE 108 STE 123
    COLUMBIA, MD
    ZIP 21045
  • Facility Phone: 301 758-4943
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: BOSE KALAMPANAYIL
  • NPI Number: 1760271738
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 21D2318821
LAB Type Independent
Facility Name VITALIS DIAGNOSTICS LLC
Street 8950 ROUTE 108 STE 123
City COLUMBIA
State MD
ZIP 21045
Phone 301 758-4943
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 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Independent
Lab Director BOSE KALAMPANAYIL

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