CLIA lab

CLIA 10D1030966: Ismet Saifullah MD

Largo, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D1030966 belongs to Ismet Saifullah MD in Largo, FL.

Certificate of Waiver, effective September 21, 2026, expires September 20, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 21, 2026
Certificate expiration
September 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 21, 2004
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D1030966
Lab name
Ismet Saifullah MD
Address
1715 E Bay Dr, Suite A, Largo, FL 33771
Phone
(727) 588-0366
Fax
(727) 588-0370

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Ismet Saifullah MD in Largo?

10D1030966, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ismet Saifullah MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1030966 expire?

The CMS file lists September 20, 2028 as the certificate expiration date; the certificate took effect September 21, 2026.

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