01D1078413 CLIA NUMBER - FARIDA N AWAN

Laboratory Demographics

  • CLIA Code: 01D1078413
  • Facility Name: FARIDA N AWAN
  • Facility Address: 6701 AIRPORT BLVD SUITE B110
    MOBILE, AL
    ZIP 36608
  • Facility Phone: 251 382-1878
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FARIDA N. AWAN
  • NPI Number: 1720053432
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D1078413
LAB Type Physician Office
Facility Name FARIDA N AWAN
Street 6701 AIRPORT BLVD SUITE B110
City MOBILE
State AL
ZIP 36608
Phone 251 382-1878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Physician Office
Lab Director FARIDA N. AWAN

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