10D0023780 CLIA NUMBER - MELBOURNE MEDICAL LABORATORY

Laboratory Demographics

  • CLIA Code: 10D0023780
  • Facility Name: MELBOURNE MEDICAL LABORATORY
  • Facility Address: 95 BULLDOG BLVD STE 103
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 321 722-1766
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CRAIG K. DELIGDISH
  • NPI Number: 1013353200
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D0023780
LAB Type Physician Office
Facility Name MELBOURNE MEDICAL LABORATORY
Street 95 BULLDOG BLVD STE 103
City MELBOURNE
State FL
ZIP 32901
Phone 321 722-1766
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/2/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director CRAIG K. DELIGDISH

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