10D2004848 CLIA NUMBER - IVAN CASTANO MD PA

Laboratory Demographics

  • CLIA Code: 10D2004848
  • Facility Name: IVAN CASTANO MD PA
  • Facility Address: 4204 W 12TH AVE
    HIALEAH, FL
    ZIP 33012
  • Facility Phone: 305 556-3818
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IVAN D. CASTANO
  • NPI Number: 1649299652
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2004848
LAB Type Physician Office
Facility Name IVAN CASTANO MD PA
Street 4204 W 12TH AVE
City HIALEAH
State FL
ZIP 33012
Phone 305 556-3818
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director IVAN D. CASTANO

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