10D1058617 CLIA NUMBER - DOCTOR FOR ADULTS INC

Laboratory Demographics

  • CLIA Code: 10D1058617
  • Facility Name: DOCTOR FOR ADULTS INC
  • Facility Address: 505 W OAK ST SUITE 202
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 846-6331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAHSINA Y. ATIQUZZAMAN
  • NPI Number: 1477525319
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1058617
LAB Type Physician Office
Facility Name DOCTOR FOR ADULTS INC
Street 505 W OAK ST SUITE 202
City KISSIMMEE
State FL
ZIP 34741
Phone 407 846-6331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director TAHSINA Y. ATIQUZZAMAN

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