10D2159863 CLIA NUMBER - JAY S HERBST MD PA

Laboratory Demographics

  • CLIA Code: 10D2159863
  • Facility Name: JAY S HERBST MD PA
  • Facility Address: 2866 TAMIAMI TRL STE A
    PORT CHARLOTTE, FL
    ZIP 33952
  • Facility Phone: 941 764-1055
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JAY S. HERBST
  • NPI Number: 1710047097
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2159863
LAB Type Physician Office
Facility Name JAY S HERBST MD PA
Street 2866 TAMIAMI TRL STE A
City PORT CHARLOTTE
State FL
ZIP 33952
Phone 941 764-1055
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director JAY S. HERBST

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