49D2080543 CLIA NUMBER - PLATINUM PATHOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 49D2080543
  • Facility Name: PLATINUM PATHOLOGY, LLC
  • Facility Address: 10128 WEST BROAD STREET, SUITE H
    GLEN ALLEN, VA
    ZIP 23060
  • Facility Phone: 877 744-7781
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ADNAN SIDDIQUI
  • NPI Number: 1699181669
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 49D2080543
LAB Type Independent
Facility Name PLATINUM PATHOLOGY, LLC
Street 10128 WEST BROAD STREET, SUITE H
City GLEN ALLEN
State VA
ZIP 23060
Phone 877 744-7781
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 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Independent
Lab Director DR. ADNAN SIDDIQUI

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