10D0294605 CLIA NUMBER - SAKINA KHALIDI MD

Laboratory Demographics

CLIA Number: 10D0294605

Facility Name: SAKINA KHALIDI MD

Facility Address:
2400 HARBOR BLVD SUITE 17
PORT CHARLOTTE, FL
ZIP 33952
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Facility Phone Number: 941 629-3113

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588611370

Taxonomy: 207VG0400X - Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	10D0294605
LAB Type	Physician Office
Facility Name	SAKINA KHALIDI MD
Street	2400 HARBOR BLVD SUITE 17
City	PORT CHARLOTTE
State	FL
ZIP	33952
Phone	941 629-3113
CertificateType	4
CertificateEffectiveDate	2/2/2024
CertificateExpirationDate	2/1/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024