10D2076646 CLIA NUMBER - SYED HASSAN, MD, PA

Laboratory Demographics

  • CLIA Code: 10D2076646
  • Facility Name: SYED HASSAN, MD, PA
  • Facility Address: 2400 HARBOR BLVD - UNIT 20
    PORT CHARLOTTE, FL
    ZIP 33952
  • Facility Phone: 941 249-8493
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SYED HASSAN
  • NPI Number: 1881687507
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2076646
LAB Type Physician Office
Facility Name SYED HASSAN, MD, PA
Street 2400 HARBOR BLVD - UNIT 20
City PORT CHARLOTTE
State FL
ZIP 33952
Phone 941 249-8493
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Physician Office
Lab Director SYED HASSAN

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