10D2062585 CLIA NUMBER - OMAR MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 10D2062585
  • Facility Name: OMAR MEDICAL PLLC
  • Facility Address: 100 WHETSTONE PL STE 204
    SAINT AUGUSTINE, FL
    ZIP 32086
  • Facility Phone: 904 342-8351
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WALID OMAR
  • NPI Number: 1346568532
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2062585
LAB Type Physician Office
Facility Name OMAR MEDICAL PLLC
Street 100 WHETSTONE PL STE 204
City SAINT AUGUSTINE
State FL
ZIP 32086
Phone 904 342-8351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director WALID OMAR

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