10D2131420 CLIA NUMBER - AMBAREEN, PA AMBAREEN INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 10D2131420
  • Facility Name: AMBAREEN, PA AMBAREEN INTERNAL MEDICINE
  • Facility Address: 7109 NW 11TH PL STE A
    GAINESVILLE, FL
    ZIP 32605
  • Facility Phone: 352 331-2890
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FARRUKH AMBAREEN
  • NPI Number: 1457884397
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2131420
LAB Type Physician Office
Facility Name AMBAREEN, PA AMBAREEN INTERNAL MEDICINE
Street 7109 NW 11TH PL STE A
City GAINESVILLE
State FL
ZIP 32605
Phone 352 331-2890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Physician Office
Lab Director FARRUKH AMBAREEN

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