10D2127007 CLIA NUMBER - KANAN MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 10D2127007
  • Facility Name: KANAN MEDICAL LLC
  • Facility Address: 460 E ALTAMONTE DR STE 2200
    ALTAMONTE SPRINGS, FL
    ZIP 32701
  • Facility Phone: 407 767-0009
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL IRIZARRY
  • NPI Number: 1700553344
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2127007
LAB Type Physician Office
Facility Name KANAN MEDICAL LLC
Street 460 E ALTAMONTE DR STE 2200
City ALTAMONTE SPRINGS
State FL
ZIP 32701
Phone 407 767-0009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Physician Office
Lab Director DR. DANIEL IRIZARRY

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