10D2086429 CLIA NUMBER - CYRUS DIAGNOSTIC IMAGING

Laboratory Demographics

  • CLIA Code: 10D2086429
  • Facility Name: CYRUS DIAGNOSTIC IMAGING
  • Facility Address: 165 WAYMONT ST
    LAKE MARY, FL
    ZIP 32746
  • Facility Phone: 407 321-3012
  • Facility Type: Other - OUTPATIENT RADIOLOGY
  • Facility Type: Waiver
  • Lab Director: ROGER NASH
  • NPI Number: 1265454425
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2086429
LAB Type Other - OUTPATIENT RADIOLOGY
Facility Name CYRUS DIAGNOSTIC IMAGING
Street 165 WAYMONT ST
City LAKE MARY
State FL
ZIP 32746
Phone 407 321-3012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Other - OUTPATIENT RADIOLOGY
Lab Director ROGER NASH

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