10D0870102 CLIA NUMBER - DR WENTWORTH JARRETT, PA

Laboratory Demographics

  • CLIA Code: 10D0870102
  • Facility Name: DR WENTWORTH JARRETT, PA
  • Facility Address: 12955 SW 132ND STREET BLDG 3B STE 104
    MIAMI, FL
    ZIP 33186
  • Facility Phone: 305 253-4340
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WENTWORTH G. JARRETT
  • NPI Number: 1366637951
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0870102
LAB Type Physician Office
Facility Name DR WENTWORTH JARRETT, PA
Street 12955 SW 132ND STREET BLDG 3B STE 104
City MIAMI
State FL
ZIP 33186
Phone 305 253-4340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Physician Office
Lab Director WENTWORTH G. JARRETT

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