CLIA lab

CLIA 10D0929427: Miguel G Dejuk MD

Palatka, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D0929427 belongs to Miguel G Dejuk MD in Palatka, FL.

Certificate of Waiver, effective September 1, 2025, expires August 31, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 1, 2025
Certificate expiration
August 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 13, 1997
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D0929427
Lab name
Miguel G Dejuk MD
Address
800 Zeagler Dr Ste 210, Palatka, FL 32177
Phone
(386) 328-8668
Fax
(386) 328-3767

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Miguel G Dejuk MD in Palatka?

10D0929427, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Miguel G Dejuk MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D0929427 expire?

The CMS file lists August 31, 2027 as the certificate expiration date; the certificate took effect September 1, 2025.

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