10D0907880 CLIA NUMBER - JWH MIAMI LAKES 1, LLC

Laboratory Demographics

  • CLIA Code: 10D0907880
  • Facility Name: JWH MIAMI LAKES 1, LLC
  • Facility Address: 16320 NW 59TH AVE 1ST FLOOR
    MIAMI, FL
    ZIP 33134
  • Facility Phone: 305 557-1212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY S. REED MD
  • NPI Number: 1164044293
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D0907880
LAB Type Physician Office
Facility Name JWH MIAMI LAKES 1, LLC
Street 16320 NW 59TH AVE 1ST FLOOR
City MIAMI
State FL
ZIP 33134
Phone 305 557-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Physician Office
Lab Director GREGORY S. REED MD

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