33D2322919 CLIA NUMBER - MARIE JACQUES NPO IN FAMILY HEALTH

Laboratory Demographics

  • CLIA Code: 33D2322919
  • Facility Name: MARIE JACQUES NPO IN FAMILY HEALTH
  • Facility Address: 20003 LINDEN BLVD
    SAINT ALBANS, NY
    ZIP 11412
  • Facility Phone: 516 413-7946
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIE JACQUES
  • NPI Number: 1770839151
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 33D2322919
LAB Type Physician Office
Facility Name MARIE JACQUES NPO IN FAMILY HEALTH
Street 20003 LINDEN BLVD
City SAINT ALBANS
State NY
ZIP 11412
Phone 516 413-7946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director MARIE JACQUES

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