10D2201091 CLIA NUMBER - WATSON HEALTHCARE

Laboratory Demographics

  • CLIA Code: 10D2201091
  • Facility Name: WATSON HEALTHCARE
  • Facility Address: 413 5TH AVE NW SUITE A
    JASPER, FL
    ZIP 32052
  • Facility Phone: 386 792-0700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER G. WATSON
  • NPI Number: 1548872609
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2201091
LAB Type Physician Office
Facility Name WATSON HEALTHCARE
Street 413 5TH AVE NW SUITE A
City JASPER
State FL
ZIP 32052
Phone 386 792-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Physician Office
Lab Director JENNIFER G. WATSON

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