10D2262021 CLIA NUMBER - MEDLAB DIAGNOSTICS 2 LLC DBA FASTLABS LLC

Laboratory Demographics

  • CLIA Code: 10D2262021
  • Facility Name: MEDLAB DIAGNOSTICS 2 LLC DBA FASTLABS LLC
  • Facility Address: 6193 SUNSET DR
    SOUTH MIAMI, FL
    ZIP 33143
  • Facility Phone: 305 741-2655
  • Facility Type: Other - SAMPLE COLLECTION CENTER
  • Facility Type: Waiver
  • Lab Director: JULIETA M. RADICHE
  • NPI Number: 1497352082
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2262021
LAB Type Other - SAMPLE COLLECTION CENTER
Facility Name MEDLAB DIAGNOSTICS 2 LLC DBA FASTLABS LLC
Street 6193 SUNSET DR
City SOUTH MIAMI
State FL
ZIP 33143
Phone 305 741-2655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Other - SAMPLE COLLECTION CENTER
Lab Director JULIETA M. RADICHE

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