FLORIDA MEDICAL LAB
NPI 1144001074
Clinical Medical Laboratory in Panama City, FL

Active since October 06, 2023CLIA 10D2282162 · Waiver
631 W 23RD ST, PANAMA CITY, FL 32405(980) 721-6622 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Florida Medical Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA MEDICAL LAB (NPI 1144001074) is a healthcare organization registered as a clinical medical laboratory in Panama City, Florida and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Omar Idlibi, Owner, as its authorized official.

NPPES Registry Identity

NPI1144001074
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameFLORIDA MEDICAL LAB
Location Address631 W 23RD STPanama City, FL 32405-3922
Mailing Address631 W 23rd StPanama City, FL 32405-3922
Organization SubpartYesParent: Carolina Medical Lab Group Inc
Authorized OfficialOmar IdlibiOwner · (980) 721-6622
Enumeration DateOctober 6, 2023
NPPES CertifiedOctober 6, 2023
NPI 1144001074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
631 W 23RD ST, Panama City, FL 32405

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2282162

Carolina Medical Lab Group, Inc Dba Florida Medical Lab · Panama City, FL
Active · expires May 16, 2027
CLIA Number10D2282162
Laboratory TypeCollection Center W/Waive
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorOmar Idlibi
Laboratory Phone(980) 721-6622
Laboratory LocationCarolina Medical Lab Group, Inc Dba Florida Medical Lab631 W. 23rd St., Panama City, FL 32405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Medical Lab's NPI number?

The NPI number for Florida Medical Lab is 1144001074. It was assigned to this organization in the NPPES registry on October 6, 2023.

Where is Florida Medical Lab located?

Florida Medical Lab is located at 631 W 23rd St, Panama City, FL 32405. The listed phone number is (980) 721-6622.

What is Florida Medical Lab's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Florida Medical Lab hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2282162) is associated with this NPI, valid through May 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florida Medical Lab was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.