10D2160950 CLIA NUMBER - HERNANDO MEDICAL INC

Laboratory Demographics

  • CLIA Code: 10D2160950
  • Facility Name: HERNANDO MEDICAL INC
  • Facility Address: 12900 CORTEZ BLVD STE 202
    BROOKSVILLE, FL
    ZIP 34613
  • Facility Phone: 352 597-8844
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD JOUD
  • NPI Number: 1023080629
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2160950
LAB Type Physician Office
Facility Name HERNANDO MEDICAL INC
Street 12900 CORTEZ BLVD STE 202
City BROOKSVILLE
State FL
ZIP 34613
Phone 352 597-8844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director MOHAMMAD JOUD

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