22D0998138 CLIA NUMBER - HANY MISTIKAWY MD

Laboratory Demographics

  • CLIA Code: 22D0998138
  • Facility Name: HANY MISTIKAWY MD
  • Facility Address: 289 PLEASANT STREET SUITE 404
    FALL RIVER, MA
    ZIP 02721
  • Facility Phone: 508 679-2265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HANY MISTIKAWY
  • NPI Number: 1851399034
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 22D0998138
LAB Type Physician Office
Facility Name HANY MISTIKAWY MD
Street 289 PLEASANT STREET SUITE 404
City FALL RIVER
State MA
ZIP 02721
Phone 508 679-2265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director HANY MISTIKAWY

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