10D2193482 CLIA NUMBER - JAMELAH D TUCKER MD PA DBA SAFER AT BIZ

Laboratory Demographics

  • CLIA Code: 10D2193482
  • Facility Name: JAMELAH D TUCKER MD PA DBA SAFER AT BIZ
  • Facility Address: 1835 E HALLANDALE BEACH BLVD #327
    HALLANDALE BEACH, FL
    ZIP 33009
  • Facility Phone: 561 203-3782
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JAMELAH D. TUCKER
  • NPI Number: 1073711768
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2193482
LAB Type Mobile Laboratory
Facility Name JAMELAH D TUCKER MD PA DBA SAFER AT BIZ
Street 1835 E HALLANDALE BEACH BLVD #327
City HALLANDALE BEACH
State FL
ZIP 33009
Phone 561 203-3782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Mobile Laboratory
Lab Director JAMELAH D. TUCKER

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