10D2284492 CLIA NUMBER - MEDILAB INC

Laboratory Demographics

  • CLIA Code: 10D2284492
  • Facility Name: MEDILAB INC
  • Facility Address: 1860 SE PORT SAINT LUCIE BLVD
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 305 968-1611
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ALICIA HIRZEL
  • NPI Number: 1184403685
  • Taxonomy: 247ZC0005X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 10D2284492
LAB Type Independent
Facility Name MEDILAB INC
Street 1860 SE PORT SAINT LUCIE BLVD
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 305 968-1611
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 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Independent
Lab Director DR. ALICIA HIRZEL

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