10D2114060 CLIA NUMBER - SUNSHINE PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 10D2114060
  • Facility Name: SUNSHINE PHYSICIANS INC
  • Facility Address: 1730 DUNLAWTON AVE STE 1
    PORT ORANGE, FL
    ZIP 32127
  • Facility Phone: 386 320-3299
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HASSAN ALKHATIB
  • NPI Number: 1376998971
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2114060
LAB Type Physician Office
Facility Name SUNSHINE PHYSICIANS INC
Street 1730 DUNLAWTON AVE STE 1
City PORT ORANGE
State FL
ZIP 32127
Phone 386 320-3299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director HASSAN ALKHATIB

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