CLIA lab
CLIA 10D2146957: Michael J Kutryb MD PA
Titusville, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2146957 belongs to Michael J Kutryb MD PA in Titusville, FL.
Certificate of Waiver, effective April 10, 2026, expires April 9, 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
- April 10, 2026
- Certificate expiration
- April 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 10, 2018
- 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
- 10D2146957
- Lab name
- Michael J Kutryb MD PA
- Address
- 730 S Washington Ave, Titusville, FL 32780
- Phone
- (321) 267-2020
- Fax
- (321) 267-4165
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Titusville, FL
- Addington Place of TitusvilleCertificate of Waiver, Assisted living facility10D2010047
- Advanced Care Partners TitusvilleCertificate of Waiver, Other10D2272914
- Aker Eye CenterCertificate of Waiver, Physician office10D1099184
- Alto Hickory CreekCertificate of Waiver, Assisted living facility10D2327693
- Aqua Dermatology of Florida PACertificate of Waiver, Physician office10D2236922
- Ara-Titusville Dialysis LLCCertificate of Waiver, End stage renal disease dialysis facility10D1014520
- Ashok Shah MD PACertificate of Waiver, Physician office10D1083172
- Atlantic Eye Consultants LLCCertificate of Waiver, Physician office10D2309129
- Be Well Family Care LLCCertificate of Waiver, Physician office10D2340199
- Brevard Health Alliance Inc, theCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center10D2012749
Related
Questions
What is the CLIA number for Michael J Kutryb MD PA in Titusville?
10D2146957, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Michael J Kutryb MD PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2146957 expire?
The CMS file lists April 9, 2028 as the certificate expiration date; the certificate took effect April 10, 2026.