10D2154612 CLIA NUMBER - DRAGEN II, LLC

Laboratory Demographics

  • CLIA Code: 10D2154612
  • Facility Name: DRAGEN II, LLC
  • Facility Address: 129 W HIBISCUS BLVD STE D
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: (321) 372-1372
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE ADAMS
  • NPI Number: 1396244406
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2154612
LAB Type Physician Office
Facility Name DRAGEN II, LLC
Street 129 W HIBISCUS BLVD STE D
City MELBOURNE
State FL
ZIP 32901
Phone 3213721372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director MICHELLE ADAMS

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: 5/18/2026