10D1074689 CLIA NUMBER - SUNSHINE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D1074689
  • Facility Name: SUNSHINE PEDIATRICS
  • Facility Address: 2507 HARRISON AVE, UNIT 101
    PANAMA CITY, FL
    ZIP 32405
  • Facility Phone: 850 747-8787
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMED ABDUL-RAHIM
  • NPI Number: 1730570300
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1074689
LAB Type Physician Office
Facility Name SUNSHINE PEDIATRICS
Street 2507 HARRISON AVE, UNIT 101
City PANAMA CITY
State FL
ZIP 32405
Phone 850 747-8787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Physician Office
Lab Director MOHAMMED ABDUL-RAHIM

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