39D2177017 CLIA NUMBER - ANWAR NAKKOUL, MD

Laboratory Demographics

  • CLIA Code: 39D2177017
  • Facility Name: ANWAR NAKKOUL, MD
  • Facility Address: 1023 CENTRE STREET
    ASHLAND, PA
    ZIP 17921
  • Facility Phone: 570 875-3665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANWAR NAKKOUL
  • NPI Number: 1669465381
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2177017
LAB Type Physician Office
Facility Name ANWAR NAKKOUL, MD
Street 1023 CENTRE STREET
City ASHLAND
State PA
ZIP 17921
Phone 570 875-3665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Physician Office
Lab Director DR. ANWAR NAKKOUL

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