10D0914208 CLIA NUMBER - ZIAD MAMISH MD

Laboratory Demographics

  • CLIA Code: 10D0914208
  • Facility Name: ZIAD MAMISH MD
  • Facility Address: 1549 AIRPORT BLVD STE 330
    PENSACOLA, FL
    ZIP 32504
  • Facility Phone: 850 969-6450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZIAD MAMISH
  • NPI Number: 1598710428
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0914208
LAB Type Physician Office
Facility Name ZIAD MAMISH MD
Street 1549 AIRPORT BLVD STE 330
City PENSACOLA
State FL
ZIP 32504
Phone 850 969-6450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Physician Office
Lab Director ZIAD MAMISH

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