10D2316512 CLIA NUMBER - MY MEDEX LAB LLC

Laboratory Demographics

  • CLIA Code: 10D2316512
  • Facility Name: MY MEDEX LAB LLC
  • Facility Address: 4501 IRVINGTON AVE
    JACKSONVILLE, FL
    ZIP 32210
  • Facility Phone: 904 881-1693
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: RADOSLAW BIENIEK
  • NPI Number: 1225849805
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2316512
LAB Type Independent
Facility Name MY MEDEX LAB LLC
Street 4501 IRVINGTON AVE
City JACKSONVILLE
State FL
ZIP 32210
Phone 904 881-1693
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Independent
Lab Director RADOSLAW BIENIEK

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