10D2164773 CLIA NUMBER - MY CLINICAL LAB INC

Laboratory Demographics

  • CLIA Code: 10D2164773
  • Facility Name: MY CLINICAL LAB INC
  • Facility Address: 15481 SW 12TH STREET SUITE 303
    SUNRISE, FL
    ZIP 33326
  • Facility Phone: 954 530-8460
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: ALICIA C. HIRZEL
  • NPI Number: 1386205474
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2164773
LAB Type Independent
Facility Name MY CLINICAL LAB INC
Street 15481 SW 12TH STREET SUITE 303
City SUNRISE
State FL
ZIP 33326
Phone 954 530-8460
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 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Independent
Lab Director ALICIA C. HIRZEL

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