10D0858712 CLIA NUMBER - MOHAMMAD A FAISAL MD PA

Laboratory Demographics

  • CLIA Code: 10D0858712
  • Facility Name: MOHAMMAD A FAISAL MD PA
  • Facility Address: 1283 SW SR 47 STE 104
    LAKE CITY, FL
    ZIP 32025
  • Facility Phone: 386 758-5985
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: FAISAL MUKHTAR
  • NPI Number: 1801866405
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0858712
LAB Type Physician Office
Facility Name MOHAMMAD A FAISAL MD PA
Street 1283 SW SR 47 STE 104
City LAKE CITY
State FL
ZIP 32025
Phone 386 758-5985
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Physician Office
Lab Director FAISAL MUKHTAR

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