CLIA lab
CLIA 10D0288488: Gordon Grenn DO PA
Lake Worth, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0288488 belongs to Gordon Grenn DO PA in Lake Worth, FL.
Certificate of Waiver, effective May 23, 2025, expires May 22, 2027.
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
- May 23, 2025
- Certificate expiration
- May 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 1993
- 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
- 10D0288488
- Lab name
- Gordon Grenn DO PA
- Address
- 4002 Raulerson Dr, Lake Worth, FL 33463
- Phone
- (561) 964-4077
- Fax
- (561) 964-9296
Annual test volume the lab reported
- Waived tests
- 2,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Gordon Grenn DO PA in Lake Worth?
10D0288488, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gordon Grenn DO PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0288488 expire?
The CMS file lists May 22, 2027 as the certificate expiration date; the certificate took effect May 23, 2025.