10D1028731 CLIA NUMBER - EBRAHIM HOOSIEN MD

Laboratory Demographics

  • CLIA Code: 10D1028731
  • Facility Name: EBRAHIM HOOSIEN MD
  • Facility Address: PALMS WEST MEDICAL MALL 2 13005 SOUTHERN BLVD STE 211
    LOXAHATCHEE, FL
    ZIP 33470
  • Facility Phone: 561 422-0082
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EBRAHIM HOOSIEN MD
  • NPI Number: 1770522112
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1028731
LAB Type Physician Office
Facility Name EBRAHIM HOOSIEN MD
Street PALMS WEST MEDICAL MALL 2 13005 SOUTHERN BLVD STE 211
City LOXAHATCHEE
State FL
ZIP 33470
Phone 561 422-0082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director EBRAHIM HOOSIEN MD

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