10D0270554 CLIA NUMBER - AZZAM ADHAL MD

Laboratory Demographics

  • CLIA Code: 10D0270554
  • Facility Name: AZZAM ADHAL MD
  • Facility Address: 2195 JENKS AVENUE SUITE B
    PANAMA CITY, FL
    ZIP 32405
  • Facility Phone: (904) 784-6696
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AZZAM ADHAL
  • NPI Number: 1295714129
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0270554
LAB Type Physician Office
Facility Name AZZAM ADHAL MD
Street 2195 JENKS AVENUE SUITE B
City PANAMA CITY
State FL
ZIP 32405
Phone 9047846696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director AZZAM ADHAL

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This page was last updated on: 5/18/2026