10D1022131 CLIA NUMBER - DENISE PANUCCIO MD PA

Laboratory Demographics

  • CLIA Code: 10D1022131
  • Facility Name: DENISE PANUCCIO MD PA
  • Facility Address: 1200 WEST SR 434, SUITE 112
    LONGWOOD, FL
    ZIP 32750
  • Facility Phone: 407 869-8747
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENISE PANUCCIO
  • NPI Number: 1134123078
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1022131
LAB Type Physician Office
Facility Name DENISE PANUCCIO MD PA
Street 1200 WEST SR 434, SUITE 112
City LONGWOOD
State FL
ZIP 32750
Phone 407 869-8747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Physician Office
Lab Director DENISE PANUCCIO

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