10D2263194 CLIA NUMBER - UNIVERSAL DIAGNOSTIC LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 10D2263194
  • Facility Name: UNIVERSAL DIAGNOSTIC LABORATORY LLC
  • Facility Address: 2500 HOLLYWOOD BLVD 3RD FLOOR #305
    HOLLYWOOD, FL
    ZIP 33020
  • Facility Phone: 862 703-0506
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ANDREAS N. MBAH
  • NPI Number: 1992413744
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2263194
LAB Type Independent
Facility Name UNIVERSAL DIAGNOSTIC LABORATORY LLC
Street 2500 HOLLYWOOD BLVD 3RD FLOOR #305
City HOLLYWOOD
State FL
ZIP 33020
Phone 862 703-0506
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 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Independent
Lab Director DR. ANDREAS N. MBAH

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