03D1032596 CLIA NUMBER - KHATIB FAMILY PRACTICE PLC

Laboratory Demographics

  • CLIA Code: 03D1032596
  • Facility Name: KHATIB FAMILY PRACTICE PLC
  • Facility Address: 2755 SILVER CREEK RD, BLDG B, STE 109
    BULLHEAD CITY, AZ
    ZIP 86442
  • Facility Phone: 928 763-9009
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NADIM B. KHATIB, MD
  • NPI Number: 1528251667
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1032596
LAB Type Physician Office
Facility Name KHATIB FAMILY PRACTICE PLC
Street 2755 SILVER CREEK RD, BLDG B, STE 109
City BULLHEAD CITY
State AZ
ZIP 86442
Phone 928 763-9009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director NADIM B. KHATIB, MD

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