10D0947380 CLIA NUMBER - REZEQ F BATAINEH MD

Laboratory Demographics

CLIA Number: 10D0947380

Facility Name: REZEQ F BATAINEH MD

Facility Address:
2575 HUNTCLIFFE LANE
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 785-6272

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013306414

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0947380
LAB Type	Physician Office
Facility Name	REZEQ F BATAINEH MD
Street	2575 HUNTCLIFFE LANE
City	PANAMA CITY
State	FL
ZIP	32405
Phone	850 785-6272
CertificateType	4
CertificateEffectiveDate	6/15/2022
CertificateExpirationDate	6/14/2024
FacilityType	Waiver

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