10D2146957 CLIA NUMBER - MICHAEL J KUTRYB MD PA

Laboratory Demographics

  • CLIA Code: 10D2146957
  • Facility Name: MICHAEL J KUTRYB MD PA
  • Facility Address: 730 S WASHINGTON AVE
    TITUSVILLE, FL
    ZIP 32780
  • Facility Phone: (321) 267-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. KUTRYB
  • NPI Number: 1902921737
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 10D2146957
LAB Type Physician Office
Facility Name MICHAEL J KUTRYB MD PA
Street 730 S WASHINGTON AVE
City TITUSVILLE
State FL
ZIP 32780
Phone 3212672020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2026
Certificate Expiration Date 4/9/2028
Facility Type Physician Office
Lab Director MICHAEL J. KUTRYB

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This page was last updated on: 5/18/2026