| Entity Name: | QUALITY CLINICAL LAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 May 2020 (5 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 16 Sep 2020 (4 years ago) |
| Document Number: | L20000122591 |
| FEI/EIN Number | 85-1004886 |
| Address: | 2204 US HIGHWAY 19, HOLIDAY, FL, 34691, US |
| Mail Address: | 2204 US HIGHWAY 19, HOLIDAY, FL, 34691, US |
| ZIP code: | 34691 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083117535 | 2018-03-12 | 2020-05-25 | PO BOX 1561, PALM HARBOR, FL, 346821561, US | 2204 US HIGHWAY 19, HOLIDAY, FL, 346914351, US | |||||||||||||||
|
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| Phone | +1 813-334-9234 |
| Fax | 8133349234 |
Authorized person
| Name | KERIEN MARTIJA |
| Role | OWNER |
| Phone | 8133349234 |
Taxonomy
| Taxonomy Code | 247ZC0005X - Clinical Laboratory Director (Non-physician) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| EXPRESS LABORATORY SERVICES, INC | Agent |
| Name | Role | Address |
|---|---|---|
| MARTIJA KERIEN | Manager | 2204 US HIGHWAY 19, HOLIDAY, FL, 34691 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-01-12 | EXPRESS LABORATORY SERVICES INC | No data |
| LC DISSOCIATION MEM | 2020-09-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-09 |
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-03-16 |
| ANNUAL REPORT | 2021-01-12 |
| CORLCDSMEM | 2020-09-16 |
| Florida Limited Liability | 2020-05-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
