10D2181356 CLIA NUMBER - WHEAT COMMUNITY SERVICES INC

Laboratory Demographics

  • CLIA Code: 10D2181356
  • Facility Name: WHEAT COMMUNITY SERVICES INC
  • Facility Address: 2627 NE 203 ST SUITE #109
    MIAMI, FL
    ZIP 33180
  • Facility Phone: 954 661-7227
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: REGINA COOPER
  • NPI Number: 1932722162
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2181356
LAB Type Mobile Laboratory
Facility Name WHEAT COMMUNITY SERVICES INC
Street 2627 NE 203 ST SUITE #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 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Mobile Laboratory
Lab Director REGINA COOPER

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