10D0964621 CLIA NUMBER - LISA ALLEN-KHALIL MD PA

Laboratory Demographics

  • CLIA Code: 10D0964621
  • Facility Name: LISA ALLEN-KHALIL MD PA
  • Facility Address: 11373 CORTEZ BLVD SUITE 102
    BROOKSVILLE, FL
    ZIP 34613
  • Facility Phone: 352 592-5000
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: LISA ALLEN-KAHLIL
  • NPI Number: 1669439741
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0964621
LAB Type Independent
Facility Name LISA ALLEN-KHALIL MD PA
Street 11373 CORTEZ BLVD SUITE 102
City BROOKSVILLE
State FL
ZIP 34613
Phone 352 592-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type Independent
Lab Director LISA ALLEN-KAHLIL

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