10D0276236 CLIA NUMBER - LEON A COHEN MD

Laboratory Demographics

  • CLIA Code: 10D0276236
  • Facility Name: LEON A COHEN MD
  • Facility Address: 375 S COURTENAY PKWY STE 1
    MERRITT ISLAND, FL
    ZIP 32952
  • Facility Phone: 321 453-3420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEON A. COHEN
  • NPI Number: 1558329607
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0276236
LAB Type Physician Office
Facility Name LEON A COHEN MD
Street 375 S COURTENAY PKWY STE 1
City MERRITT ISLAND
State FL
ZIP 32952
Phone 321 453-3420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director LEON A. COHEN

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