10D2123502 CLIA NUMBER - THIERRY JACQUEMIN DO PA

Laboratory Demographics

  • CLIA Code: 10D2123502
  • Facility Name: THIERRY JACQUEMIN DO PA
  • Facility Address: 3850 BIRD RD STE 402B
    MIAMI, FL
    ZIP 33146
  • Facility Phone: 305 667-1511
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THIERRY O. JACQUEMIN
  • NPI Number: 1427590918
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2123502
LAB Type Physician Office
Facility Name THIERRY JACQUEMIN DO PA
Street 3850 BIRD RD STE 402B
City MIAMI
State FL
ZIP 33146
Phone 305 667-1511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director THIERRY O. JACQUEMIN

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