15D0975862 CLIA NUMBER - KARIM MOSHREF MD PC

Laboratory Demographics

  • CLIA Code: 15D0975862
  • Facility Name: KARIM MOSHREF MD PC
  • Facility Address: 2110 LOWER HUNTINGTON RD
    FT WAYNE, IN
    ZIP 46819
  • Facility Phone: 260 478-9960
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KARIM MOSHREF
  • NPI Number: 1265863187
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0975862
LAB Type Physician Office
Facility Name KARIM MOSHREF MD PC
Street 2110 LOWER HUNTINGTON RD
City FT WAYNE
State IN
ZIP 46819
Phone 260 478-9960
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director KARIM MOSHREF

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