10D2310609 CLIA NUMBER - MEDSTATION PRIMARY CLINIC LLC

Laboratory Demographics

  • CLIA Code: 10D2310609
  • Facility Name: MEDSTATION PRIMARY CLINIC LLC
  • Facility Address: 1362 WESTON RD
    WESTON, FL
    ZIP 33326
  • Facility Phone: 954 469-3713
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUEMIN THIERRY
  • NPI Number: 1215756770
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2310609
LAB Type Physician Office
Facility Name MEDSTATION PRIMARY CLINIC LLC
Street 1362 WESTON RD
City WESTON
State FL
ZIP 33326
Phone 954 469-3713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director JACQUEMIN THIERRY

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