10D1000069 CLIA NUMBER - INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D1000069
  • Facility Name: INTERNAL MEDICINE ASSOCIATES
  • Facility Address: 13733 OFFICE PARK CT
    HUDSON, FL
    ZIP 34667
  • Facility Phone: 727 862-2580
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RADHIKA MENON
  • NPI Number: 1770766289
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1000069
LAB Type Physician Office
Facility Name INTERNAL MEDICINE ASSOCIATES
Street 13733 OFFICE PARK CT
City HUDSON
State FL
ZIP 34667
Phone 727 862-2580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director RADHIKA MENON

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