10D1065108 CLIA NUMBER - JACKIE M TRIPP MD PLC

Laboratory Demographics

  • CLIA Code: 10D1065108
  • Facility Name: JACKIE M TRIPP MD PLC
  • Facility Address: 5130 LINTON BLVD STE C1
    DELRAY BEACH, FL
    ZIP 33484
  • Facility Phone: 561 819-6888
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JACKIE M. TRIPP
  • NPI Number: 1659326544
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D1065108
LAB Type Physician Office
Facility Name JACKIE M TRIPP MD PLC
Street 5130 LINTON BLVD STE C1
City DELRAY BEACH
State FL
ZIP 33484
Phone 561 819-6888
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director DR. JACKIE M. TRIPP

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