Origin
What "lab grown" means
A lab-grown diamond is a diamond. Not a simulant, not cubic zirconia - the same carbon crystal structure, the same hardness, the same fire and brilliance. A gemmologist needs specialist equipment to tell one from a mined stone.
The only difference is where it formed: in a controlled chamber over weeks rather than underground over millions of years. Origin and grading are separate questions. Ask for the grading report and specifications for the piece you are considering.