10D2181154 CLIA NUMBER - WHEAT, LLC

Laboratory Demographics

  • CLIA Code: 10D2181154
  • Facility Name: WHEAT, LLC
  • Facility Address: 2627 NE 203 ST STE 109
    MIAMI, FL
    ZIP 33180
  • Facility Phone: 954 661-7227
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: REGINA F. COOPER
  • NPI Number: 1235752460
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2181154
LAB Type Mobile Laboratory
Facility Name WHEAT, LLC
Street 2627 NE 203 ST STE 109
City MIAMI
State FL
ZIP 33180
Phone 954 661-7227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Mobile Laboratory
Lab Director REGINA F. COOPER

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