NPI Details
CLINICAL DIAGNOSTIC LABORATORIES, LLC is a clinical medical laboratory in Ashburn, VA. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. CLINICAL DIAGNOSTIC LABORATORIES, LLC NPI is 1881101475. The provider is registered as an organization entity type.
The provider's business location address is:
44355 PREMIER PLZ STE 240
ASHBURN, VA
ZIP 20147-050
Phone: (703) 430-1111
Fax: (703) 722-3890
The provider's authorized official is Ibtihaj Awadelkariem .
The authorized official title is Ceo/technical Director and has the following contact phone number (703) 430-1111.
The CLIA number assigned to this NPI record is 49D2150302 - independent with a certificate type of Certificate of Accreditation.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source (HCPCS:G2023)
- Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0003)
- Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within (HCPCS:U0005)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
- Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
- Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
- Automated urinalysis test (HCPCS:81003)
- Bacterial culture for aerobic isolates (HCPCS:87077)
- Hemoglobin a1c level (HCPCS:83036)
- Bacterial colony count, urine (HCPCS:87086)
- Bacterial urine culture (HCPCS:87088)
- Vitamin d-3 level (HCPCS:82306)
- Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
- Identification of organisms by genetic analysis, amplified probe technique (HCPCS:87150)
- Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), agar dilution method (HCPCS:87181)
- Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution, each plate (HCPCS:87187)
- Identification of organisms by immunologic analysis, immunofluorescent method (HCPCS:87140)
- Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
- Thyroxine (thyroid chemical), free (HCPCS:84439)
The enumeration date for this NPI number is 1/4/2018 and was last updated on 1/8/2025.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | | VIRGINIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1881101475 | MEDICAID | VIRGINIA | |
