10D2083708 CLIA NUMBER - THOMASSEN PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 10D2083708
  • Facility Name: THOMASSEN PLASTIC SURGERY
  • Facility Address: 2800 E COMMERCIAL BLVD STE 103
    FORT LAUDERDALE, FL
    ZIP 33308
  • Facility Phone: 954 771-0200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN M. THOMASSEN
  • NPI Number: 1114259165
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D2083708
LAB Type Physician Office
Facility Name THOMASSEN PLASTIC SURGERY
Street 2800 E COMMERCIAL BLVD STE 103
City FORT LAUDERDALE
State FL
ZIP 33308
Phone 954 771-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Physician Office
Lab Director DR. JOHN M. THOMASSEN

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