10D2111542 CLIA NUMBER - GAINESVILLE FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 10D2111542
  • Facility Name: GAINESVILLE FAMILY PHYSICIANS
  • Facility Address: 7485 SW 17TH RD
    GAINESVILLE, FL
    ZIP 32607
  • Facility Phone: 352 333-5700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEXANDRE P. MOKBEL
  • NPI Number: 1659802932
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2111542
LAB Type Physician Office
Facility Name GAINESVILLE FAMILY PHYSICIANS
Street 7485 SW 17TH RD
City GAINESVILLE
State FL
ZIP 32607
Phone 352 333-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director ALEXANDRE P. MOKBEL

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