10D2065177 CLIA NUMBER - SERGIO J CABRERA MD PL

Laboratory Demographics

  • CLIA Code: 10D2065177
  • Facility Name: SERGIO J CABRERA MD PL
  • Facility Address: 131 E REDSTONE AVE SUITE 102
    CRESTVIEW, FL
    ZIP 32539
  • Facility Phone: 850 398-8940
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SERGIO J. CABRERA
  • NPI Number: 1639104425
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 10D2065177
LAB Type Physician Office
Facility Name SERGIO J CABRERA MD PL
Street 131 E REDSTONE AVE SUITE 102
City CRESTVIEW
State FL
ZIP 32539
Phone 850 398-8940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director SERGIO J. CABRERA

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