10D0957982 CLIA NUMBER - TANWEER MEMON MD PA

Laboratory Demographics

  • CLIA Code: 10D0957982
  • Facility Name: TANWEER MEMON MD PA
  • Facility Address: 2852 TAMIAMI TRL UNIT 5
    PORT CHARLOTTE, FL
    ZIP 33952
  • Facility Phone: 941 625-9494
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TANWEER A. MEMON
  • NPI Number: 1053304774
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0957982
LAB Type Physician Office
Facility Name TANWEER MEMON MD PA
Street 2852 TAMIAMI TRL UNIT 5
City PORT CHARLOTTE
State FL
ZIP 33952
Phone 941 625-9494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director TANWEER A. MEMON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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