CLIA lab
CLIA 10D0268245: Jack M Matheny II MD
Palatka, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0268245 belongs to Jack M Matheny II MD in Palatka, FL.
Certificate of Waiver, effective December 1, 2024, expires November 30, 2026.
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
- December 1, 2024
- Certificate expiration
- November 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- 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
- 10D0268245
- Lab name
- Jack M Matheny II MD
- Address
- 700 Zeagler Dr Ste 10, Palatka, FL 32177
- Phone
- (386) 328-6746
- Fax
- (386) 328-7554
Annual test volume the lab reported
- Waived tests
- 1,150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ardnas Health Care Services LLCCertificate of Waiver, Home health agency10D1097159
- Bennett's Testing SolutionsCertificate of Waiver, Mobile lab10D2331303
- Bma of PalatkaCertificate of Waiver, End stage renal disease dialysis facility10D0917287
- Brooks Home Care Advantage IncCertificate of Waiver, Home health agency10D2020037
- Community Roots Health LLCCertificate of Waiver, Other practitioner10D2342751
- Evolue Women's Healthcare LLCCertificate of Waiver, Physician office10D2336784
- Express Urgent Care LLCCertificate of Waiver, Physician office10D2182130
- First Coast Cardiovascular Institute LLCCertificate of Compliance, Physician office10D2121619
Related
Questions
What is the CLIA number for Jack M Matheny II MD in Palatka?
10D0268245, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jack M Matheny II MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0268245 expire?
The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.