10D2012280 CLIA NUMBER - NORTH FLORIDA MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 10D2012280
  • Facility Name: NORTH FLORIDA MEDICAL GROUP
  • Facility Address: 1702 OHIO AVE
    LYNN HAVEN, FL
    ZIP 32444
  • Facility Phone: 850 747-2010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HATEM MOURAD
  • NPI Number: 1942516935
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2012280
LAB Type Physician Office
Facility Name NORTH FLORIDA MEDICAL GROUP
Street 1702 OHIO AVE
City LYNN HAVEN
State FL
ZIP 32444
Phone 850 747-2010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director HATEM MOURAD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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