10D2280842 CLIA NUMBER - BRAZILIAN CLINIC LLC DBA MEDSTATION

Laboratory Demographics

  • CLIA Code: 10D2280842
  • Facility Name: BRAZILIAN CLINIC LLC DBA MEDSTATION
  • Facility Address: 3095 NE 163RD ST
    NORTH MIAMI BEACH, FL
    ZIP 33160
  • Facility Phone: 954 702-7616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THIERRY JACUEMIN
  • NPI Number: 1942996400
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2280842
LAB Type Physician Office
Facility Name BRAZILIAN CLINIC LLC DBA MEDSTATION
Street 3095 NE 163RD ST
City NORTH MIAMI BEACH
State FL
ZIP 33160
Phone 954 702-7616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Physician Office
Lab Director THIERRY JACUEMIN

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