CLIA lab
CLIA 10D0942543: Carlos Dominquez MD PA
Deltona, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0942543 belongs to Carlos Dominquez MD PA in Deltona, FL.
Certificate of Waiver, effective March 13, 2026, expires March 12, 2028.
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
- March 13, 2026
- Certificate expiration
- March 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 13, 1998
- 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
- 10D0942543
- Lab name
- Carlos Dominquez MD PA
- Address
- 1857 Providence Boulevard, Deltona, FL 32725
- Phone
- (386) 789-3035
- Fax
- (386) 789-8544
Annual test volume the lab reported
- Waived tests
- 3,500
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 Carlos Dominquez MD PA in Deltona?
10D0942543, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Carlos Dominquez MD PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0942543 expire?
The CMS file lists March 12, 2028 as the certificate expiration date; the certificate took effect March 13, 2026.