10D2257863 CLIA NUMBER - OSAMA SHUAIB ISMAIL MD

Laboratory Demographics

  • CLIA Code: 10D2257863
  • Facility Name: OSAMA SHUAIB ISMAIL MD
  • Facility Address: 110 E BYRD AVE
    BONIFAY, FL
    ZIP 32425
  • Facility Phone: 850 547-4799
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OSAMA SHUAIB ISMAIL
  • NPI Number: 1356913370
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2257863
LAB Type Physician Office
Facility Name OSAMA SHUAIB ISMAIL MD
Street 110 E BYRD AVE
City BONIFAY
State FL
ZIP 32425
Phone 850 547-4799
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director OSAMA SHUAIB ISMAIL

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