CLIA lab
CLIA 10D0645074: Life Care Ponte Vedra Inc
Ponte Vedra Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0645074 belongs to Life Care Ponte Vedra Inc in Ponte Vedra Beach, 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
- January 6, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Private
- 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
- 10D0645074
- Lab name
- Life Care Ponte Vedra Inc
- Additional name
- DBA Vicar's Landing Nursing Home
- Address
- 1003 York Road, Ponte Vedra Beach, FL 32082
- Phone
- (904) 285-1055
- Fax
- (904) 285-1384
Annual test volume the lab reported
- Waived tests
- 75
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Vicar's Landing Nursing HomeCMS Care Compare ratings for the facility at the same street address
Other labs in Ponte Vedra Beach, FL
- Aqua Dermatology of Florida PACertificate of Compliance, Physician office10D2093798
- Baptist Primary Care IncCertificate of Waiver, Physician office10D2187519
- Baptist Primary Care IncCertificate of Waiver, Physician office10D2315734
- Baptist Primary Care Ponte VedraCertificate of Waiver, Physician office10D0903603
- Beaches Dermatology PACertificate of Waiver, Physician office10D0673097
- Contoura Investments, LLCCertificate of Waiver, Physician office10D2233148
- Health DesignsCertificate of Waiver, Health fair10D0898585
- Millennium Physician Group LLCCertificate of Waiver, Physician office10D1026707
- North Florida SurgeonsCertificate of Waiver, Physician office10D2092471
- Ocean Life RecoveryCertificate of Waiver, Other10D2324668
Related
Questions
What is the CLIA number for Life Care Ponte Vedra Inc in Ponte Vedra Beach?
10D0645074, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Life Care Ponte Vedra Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0645074 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.