10D2154469 CLIA NUMBER - ANTONIO CUBANO MD PA

Laboratory Demographics

  • CLIA Code: 10D2154469
  • Facility Name: ANTONIO CUBANO MD PA
  • Facility Address: 352 ENGLENOOK DR
    DEBARY, FL
    ZIP 32713
  • Facility Phone: 407 732-7266
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTONIO M. CUBANO
  • NPI Number: 1881895951
  • Taxonomy: 2084P0804X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2154469
LAB Type Physician Office
Facility Name ANTONIO CUBANO MD PA
Street 352 ENGLENOOK DR
City DEBARY
State FL
ZIP 32713
Phone 407 732-7266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director ANTONIO M. CUBANO

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