10D2108453 CLIA NUMBER - MOISES DOBARGANES ARNP PA

Laboratory Demographics

  • CLIA Code: 10D2108453
  • Facility Name: MOISES DOBARGANES ARNP PA
  • Facility Address: 4883 PALM COAST PKWY NW UNIT 1
    PALM COAST, FL
    ZIP 32137
  • Facility Phone: 786 703-8061
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOISES DOBARGANES
  • NPI Number: 1538235551
  • Taxonomy: 363LG0600X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2108453
LAB Type Physician Office
Facility Name MOISES DOBARGANES ARNP PA
Street 4883 PALM COAST PKWY NW UNIT 1
City PALM COAST
State FL
ZIP 32137
Phone 786 703-8061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Physician Office
Lab Director MOISES DOBARGANES

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