10D2121423 CLIA NUMBER - AFA PAIN SPECIALISTS

Laboratory Demographics

  • CLIA Code: 10D2121423
  • Facility Name: AFA PAIN SPECIALISTS
  • Facility Address: 393 PALM COAST PKWY SW UNIT 1 AND 2
    PALM COAST, FL
    ZIP 32137
  • Facility Phone: 904 639-6747
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LATIF SHARIQ
  • NPI Number: 1679964449
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2121423
LAB Type Physician Office
Facility Name AFA PAIN SPECIALISTS
Street 393 PALM COAST PKWY SW UNIT 1 AND 2
City PALM COAST
State FL
ZIP 32137
Phone 904 639-6747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director LATIF SHARIQ

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