10D0909452 CLIA NUMBER - JETH V SALOMON MD

Laboratory Demographics

  • CLIA Code: 10D0909452
  • Facility Name: JETH V SALOMON MD
  • Facility Address: 6560 9TH AVE N STE 1
    SAINT PETERSBURG, FL
    ZIP 33710
  • Facility Phone: 727 381-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JETH V. SALOMON MD
  • NPI Number: 1023089406
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0909452
LAB Type Physician Office
Facility Name JETH V SALOMON MD
Street 6560 9TH AVE N STE 1
City SAINT PETERSBURG
State FL
ZIP 33710
Phone 727 381-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director JETH V. SALOMON MD

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