10D2221553 CLIA NUMBER - TARJ MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2221553
  • Facility Name: TARJ MEDICAL CENTER LLC
  • Facility Address: 175 SOUTH STATE RD 7
    MARGATE, FL
    ZIP 33068
  • Facility Phone: 954 586-4343
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSENIQUE F. DUVERNA
  • NPI Number: 1710442009
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2221553
LAB Type Physician Office
Facility Name TARJ MEDICAL CENTER LLC
Street 175 SOUTH STATE RD 7
City MARGATE
State FL
ZIP 33068
Phone 954 586-4343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Physician Office
Lab Director ROSENIQUE F. DUVERNA

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