10D2163956 CLIA NUMBER - FARHAN SIDDIQI MD PA

Laboratory Demographics

  • CLIA Code: 10D2163956
  • Facility Name: FARHAN SIDDIQI MD PA
  • Facility Address: 2040 SHORT AVE STE 100, FLOOR 2
    ODESSA, FL
    ZIP 33556
  • Facility Phone: 727 807-2476
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FARHAN SIDDIQI
  • NPI Number: 1750051736
  • Taxonomy: 207XS0117X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2163956
LAB Type Physician Office
Facility Name FARHAN SIDDIQI MD PA
Street 2040 SHORT AVE STE 100, FLOOR 2
City ODESSA
State FL
ZIP 33556
Phone 727 807-2476
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director FARHAN SIDDIQI

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