10D0859149 CLIA NUMBER - AMIR A MALIK MD

Laboratory Demographics

  • CLIA Code: 10D0859149
  • Facility Name: AMIR A MALIK MD
  • Facility Address: 204 SOUTH PARK CIRCLE EAST
    SAINT AUGUSTINE, FL
    ZIP 32086
  • Facility Phone: 904 829-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMIR A. MALIK
  • NPI Number: 1386749505
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0859149
LAB Type Physician Office
Facility Name AMIR A MALIK MD
Street 204 SOUTH PARK CIRCLE EAST
City SAINT AUGUSTINE
State FL
ZIP 32086
Phone 904 829-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director AMIR A. MALIK

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