10D2328856 CLIA NUMBER - HOME PHYSICIANS GROUP

Laboratory Demographics

  • CLIA Code: 10D2328856
  • Facility Name: HOME PHYSICIANS GROUP
  • Facility Address: 450 N MCDONALD AVE
    DELAND, FL
    ZIP 32724
  • Facility Phone: 321 235-0692
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GABRIEL NURIEL
  • NPI Number: 1700273000
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2328856
LAB Type Physician Office
Facility Name HOME PHYSICIANS GROUP
Street 450 N MCDONALD AVE
City DELAND
State FL
ZIP 32724
Phone 321 235-0692
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director GABRIEL NURIEL

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