PSOMAGEN INC
NPI 1972954030
Clinical Medical Laboratory in Rockville, MD

Active since June 29, 2016CLIA 21D2062464 · Accreditation
1330 PICCARD DR., SUITE 103,203 &205, ROCKVILLE, MD 20850(301) 251-1007(301) 251-4006 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 3, 2026, Jun 29, 2016 (2 updates tracked since 2016).

  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 21D2062464
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 01-25-2028

About PSOMAGEN INC

This page provides the complete NPI Profile along with additional information for Psomagen Inc, a provider established in Rockville, Maryland operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1972954030 assigned on June 2016. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is Dr. Jiwon Lee Phd (Administrative Director)

NPI
1972954030 Verify this NPI
Provider Name
PSOMAGEN INC
Entity Type
Organization
Location Address
1330 PICCARD DR. SUITE 103,203 &205 ROCKVILLE, MD 20850
Location Phone
(301) 251-1007
Location Fax
(301) 251-4006
Mailing Address
1330 PICCARD DRIVE SUITE 103,203 &205 ROCKVILLE, MD 20850
Mailing Phone
(301) 251-1007
Mailing Fax
(301) 251-4006
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2016
Last Update Date
06-03-2026
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Establishments like Psomagen Inc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JIWON LEE PHD

Authorized Official Title
ADMINISTRATIVE DIRECTOR
Authorized Official Phone
(301) 251-1007

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2062464
Facility Type
Independent
Certificate Effective Date
January 26, 2026
Certificate Expiration Date
January 25, 2028
Laboratory Director
DR. CARLOS J. RUIZ
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Psomagen Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972954030, enumerated as an "organization" on June 29, 2016.

The provider is located at 1330 PICCARD DR. SUITE 103,203 &205 ROCKVILLE, MD 20850 and the phone number is (301) 251-1007.

Clinical Medical Laboratory with taxonomy code 291U00000X.