10D2231856 CLIA NUMBER - MYL GROUP SERVICES CORP

Laboratory Demographics

  • CLIA Code: 10D2231856
  • Facility Name: MYL GROUP SERVICES CORP
  • Facility Address: 7480 FAIRWAY DR SUITE 208
    MIAMI LAKES, FL
    ZIP 33014
  • Facility Phone: 669 235-4347
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUNA WAHNON- BENAYOUN
  • NPI Number: 1265065528
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2231856
LAB Type Physician Office
Facility Name MYL GROUP SERVICES CORP
Street 7480 FAIRWAY DR SUITE 208
City MIAMI LAKES
State FL
ZIP 33014
Phone 669 235-4347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Physician Office
Lab Director LUNA WAHNON- BENAYOUN

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