10D1045558 CLIA NUMBER - MOWAFFAK ATFEN MD

Laboratory Demographics

  • CLIA Code: 10D1045558
  • Facility Name: MOWAFFAK ATFEN MD
  • Facility Address: 11373 CORTEZ BLVD STE 307
    BROOKSVILLE, FL
    ZIP 34613
  • Facility Phone: 352 596-1616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOWAFFAK ATFEN MD
  • NPI Number: 1124215249
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1045558
LAB Type Physician Office
Facility Name MOWAFFAK ATFEN MD
Street 11373 CORTEZ BLVD STE 307
City BROOKSVILLE
State FL
ZIP 34613
Phone 352 596-1616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director MOWAFFAK ATFEN MD

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