CLIA lab
CLIA 10D0724550: Lake Butler Medical Clinic
Lake Butler, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0724550 belongs to Lake Butler Medical Clinic in Lake Butler, FL.
Certificate of Waiver, effective May 16, 2025, expires May 15, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 16, 2025
- Certificate expiration
- May 15, 2027
- 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
- 10D0724550
- Lab name
- Lake Butler Medical Clinic
- Address
- 675 E Main Street, Lake Butler, FL 32054
- Phone
- (352) 494-6028
- Fax
- (386) 496-2227
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake Butler, FL
- Community Cancer Center of North FloridaCertificate of Waiver, Community clinic10D2003702
- Lake Butler Family & Pediatric ClinicCertificate for Provider-Performed Microscopy Procedures, Other10D0935167
- Lake Butler HospitalCertificate of Accreditation, Hospital10D0645051
- Modular Freestanding Surgery CenterCertificate of Waiver, Other10D0995492
- Reception & Medical Center Nursing ServicesCertificate of Waiver, Other10D1021530
- Reception and Medical Center Clinical LaboratoryCertificate of Compliance, Prison10D0022561
- Union Direct Primary Care, LLCCertificate of Waiver, Physician office10D2236697
- Village Doctors Family Medical Center ofCertificate of Waiver, Physician office10D2085276
Related
Questions
What is the CLIA number for Lake Butler Medical Clinic in Lake Butler?
10D0724550, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Butler Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0724550 expire?
The CMS file lists May 15, 2027 as the certificate expiration date; the certificate took effect May 16, 2025.