CLIA lab

CLIA 10D2009275: Jay Kundumadathil MD

Indialantic, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2009275 belongs to Jay Kundumadathil MD in Indialantic, FL.

Certificate of Waiver, effective June 29, 2026, expires June 28, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
June 29, 2026
Certificate expiration
June 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 29, 2010
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2009275
Lab name
Jay Kundumadathil MD
Address
406 5th Ave, Indialantic, FL 32903
Phone
(321) 473-8974

Annual test volume the lab reported

Waived tests
750

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Indialantic, FL

Related

Questions

What is the CLIA number for Jay Kundumadathil MD in Indialantic?

10D2009275, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jay Kundumadathil MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2009275 expire?

The CMS file lists June 28, 2028 as the certificate expiration date; the certificate took effect June 29, 2026.

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