10D0276288 CLIA NUMBER - JORGE J LEAL MD

Laboratory Demographics

  • CLIA Code: 10D0276288
  • Facility Name: JORGE J LEAL MD
  • Facility Address: 825 NORTH COURTENAY PKWY
    MERRITT ISLAND, FL
    ZIP 32953
  • Facility Phone: 321 452-2563
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JORGE J. LEAL
  • NPI Number: 1093850927
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D0276288
LAB Type Physician Office
Facility Name JORGE J LEAL MD
Street 825 NORTH COURTENAY PKWY
City MERRITT ISLAND
State FL
ZIP 32953
Phone 321 452-2563
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JORGE J. LEAL

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