# QUALITY CLINICAL LAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EXPRESS LABORATORY SERVICES , INC.
- **Other names:** EXPRESS LABORATORY SERVICES, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083117535
- **Legal business name:** EXPRESS LABORATORY SERVICES , INC.
- **Authorized official:** KERIEN MARTIJA (OWNER)
- **Authorized official phone:** (813) 334-9234

## Contact information

- **Practice address:** 10816 US HIGHWAY 19, PORT RICHEY, FL 34668-2564
- **Practice address phone:** (813) 334-9234
- **Practice address fax:** (813) 334-9234
- **Mailing address:** 10816 US HIGHWAY 19, PORT RICHEY, FL 34668-2564
- **Mailing address phone:** (813) 334-9234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | NULL | Yes |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2018
- **Last updated:** 02/07/2025