CLIA lab
CLIA 10D0267489: Pavilion at Crescent Lake for Nursing, the
Crescent City, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0267489 belongs to Pavilion at Crescent Lake for Nursing, the in Crescent City, FL.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 1992
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D0267489
- Lab name
- Pavilion at Crescent Lake for Nursing, the
- Additional name
- And Rehabilitation
- Address
- 100 N Lake St, Crescent City, FL 32112
- Phone
- (386) 698-2222
- Fax
- (386) 698-2717
Annual test volume the lab reported
- Waived tests
- 50,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- The Pavilion at Crescent LakeCMS Care Compare ratings for the facility at the same street address
Other labs in Crescent City, FL
- Beyond Venacare Services LLCCertificate of Waiver, Other10D2313375
- Community Medical CenterCertificate of Waiver, Physician office10D0943855
- Express Family Care LLCCertificate of Waiver, Physician office10D2054325
- Florida Department of HealthCertificate of Waiver, Other10D2283915
- Island Doctors of South Crescent CityCertificate of Waiver, Physician office10D0994869
- New Horizon Facility IncCertificate of Waiver, Assisted living facility10D1066582
- Putnam County Medical MissionCertificate of Waiver, Other10D2091194
- ST Johns Recovery Place LLCCertificate of Waiver, Other10D2158379
Related
Questions
What is the CLIA number for Pavilion at Crescent Lake for Nursing, the in Crescent City?
10D0267489, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pavilion at Crescent Lake for Nursing, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0267489 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.