10D2112166 CLIA NUMBER - INGENIOUS PERSONALIZED MEDICINE

Laboratory Demographics

  • CLIA Code: 10D2112166
  • Facility Name: INGENIOUS PERSONALIZED MEDICINE
  • Facility Address: 1065 NE 125TH STREET SUITE 217
    NORTH MIAMI, FL
    ZIP 33161
  • Facility Phone: 303 802-3474
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. RADOSLAW F. BIENIEK
  • NPI Number: 1083280978
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2112166
LAB Type Independent
Facility Name INGENIOUS PERSONALIZED MEDICINE
Street 1065 NE 125TH STREET SUITE 217
City NORTH MIAMI
State FL
ZIP 33161
Phone 303 802-3474
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Independent
Lab Director DR. RADOSLAW F. BIENIEK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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