10D2070279 CLIA NUMBER - RAINBOW PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2070279
  • Facility Name: RAINBOW PEDIATRICS
  • Facility Address: 200 FOREST PARK CIRCLE
    PANAMA CITY, FL
    ZIP 32405
  • Facility Phone: 850 257-5524
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHMED E. REZK
  • NPI Number: 1134569049
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2070279
LAB Type Physician Office
Facility Name RAINBOW PEDIATRICS
Street 200 FOREST PARK CIRCLE
City PANAMA CITY
State FL
ZIP 32405
Phone 850 257-5524
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director AHMED E. REZK

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