Exhibit 5.1 [CADWALADER, WICKERSHAM & TAFT LETTERHEAD] May 1, 2002 DIANON Systems, Inc. 200 Watson Boulevard Stratford, CT 06615 Re: DIANON Systems, Inc. Ladies and Gentlemen: We have acted as special counsel to DIANON Systems, Inc. (the "Company") in connection with the preparation and filing by the Company with the Securities and Exchange Commission of a Registration Statement on Form S-8 (the "Registration Statement") under the Securities Act of 1933, as amended, dated as of May 1, 2002, relating to the registration of up to 125,000 shares of the Company's common stock, par value $.01 per share (the "Shares") to be issued pursuant to the Non-ISO Stock Option Grant. In rendering the opinions set forth below, we have examined originals, or copies certified or otherwise identified to our satisfaction, of such documents corporate records and other instruments as we have deemed necessary or appropriate. We express no opinion concerning the laws of any jurisdiction other than the laws of the State of New York and the General Corporation Law of the State of Delaware (including the statutory provisions, all applicable provisions of the Delaware Constitution and reported judicial decisions interpreting the foregoing). We are not licensed to practice law in the State of Delaware. Except as described, we have neither examined no do we express any opinion with respect to Delaware law. Based upon and subject to the foregoing, we are of the opinion that: 1. The Shares have been duly authorized under the Company's Certificate of Incorporation. 2. The Shares, when issued and delivered by the Company pursuant to the Non-ISO Stock Option Grant, will be validly issued, fully paid and nonassessable. We are furnishing this opinion letter to you solely for your benefit in connection with the registration referred to herein. We disclaim any obligation to update this opinion letter for changes in fact or law, or otherwise. We hereby consent to the filing of this opinion as an exhibit to the Registration Statement. In giving this consent, we do not thereby concede that we are within the category of persons whose consent is required under the Securities Act of 1933, as amended, or the Rules and Regulations thereunder. Very truly yours, CADWALADER WICKERSHAM & TAFT -2-