10D0914200 CLIA NUMBER - JUAN M CANCIO MD PA

Laboratory Demographics

  • CLIA Code: 10D0914200
  • Facility Name: JUAN M CANCIO MD PA
  • Facility Address: 777 E 25TH STREET SUITE 510
    HIALEAH, FL
    ZIP 33013
  • Facility Phone: 305 691-7044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director:
  • NPI Number: 1679803431
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0914200
LAB Type Physician Office
Facility Name JUAN M CANCIO MD PA
Street 777 E 25TH STREET SUITE 510
City HIALEAH
State FL
ZIP 33013
Phone 305 691-7044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Physician Office

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