49D0228232 CLIA NUMBER - ANWARUL ISLAM MD

Laboratory Demographics

  • CLIA Code: 49D0228232
  • Facility Name: ANWARUL ISLAM MD
  • Facility Address: 637 KINGSBORO SQUARE - SUITE B
    CHESAPEAKE, VA
    ZIP 23320
  • Facility Phone: 757 547-4448
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANWARUL ISLAM
  • NPI Number: 1215948872
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0228232
LAB Type Physician Office
Facility Name ANWARUL ISLAM MD
Street 637 KINGSBORO SQUARE - SUITE B
City CHESAPEAKE
State VA
ZIP 23320
Phone 757 547-4448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director ANWARUL ISLAM

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