CLIA lab
CLIA 10D0857208: Mario N Favilli MD PA
Coconut Creek, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0857208 belongs to Mario N Favilli MD PA in Coconut Creek, FL.
Certificate of Waiver, effective September 12, 2025, expires September 11, 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
- September 12, 2025
- Certificate expiration
- September 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 8, 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
- 10D0857208
- Lab name
- Mario N Favilli MD PA
- Address
- 4855 W Hillsboro Blvd Ste B 8, Coconut Creek, FL 33073
- Phone
- (954) 481-2278
- Fax
- (954) 481-1987
Annual test volume the lab reported
- Waived tests
- 240
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Conviva Medical Center Management, LLCCertificate of Waiver, Physician office10D0713977
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Related
Questions
What is the CLIA number for Mario N Favilli MD PA in Coconut Creek?
10D0857208, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mario N Favilli MD PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0857208 expire?
The CMS file lists September 11, 2027 as the certificate expiration date; the certificate took effect September 12, 2025.