10D0918188 CLIA NUMBER - JWH NORTH MIAMI I, LLC

Laboratory Demographics

  • CLIA Code: 10D0918188
  • Facility Name: JWH NORTH MIAMI I, LLC
  • Facility Address: 3435 NE 163 ST
    NORTH MIAMI BEACH, FL
    ZIP 33160
  • Facility Phone: 305 947-3700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERARDO C. PEREZ
  • NPI Number: 1992311286
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 10D0918188
LAB Type Physician Office
Facility Name JWH NORTH MIAMI I, LLC
Street 3435 NE 163 ST
City NORTH MIAMI BEACH
State FL
ZIP 33160
Phone 305 947-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director GERARDO C. PEREZ

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