CLIA lab
CLIA 10D0860494: Florida Mentor II LLC
Fort Walton Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0860494 belongs to Florida Mentor II LLC in Fort Walton 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
- February 3, 1993
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Other
- 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
- 10D0860494
- Lab name
- Florida Mentor II LLC
- Address
- 1045 Mar Walt Dr, Fort Walton Beach, FL 32547
- Phone
- (850) 862-0108
- Fax
- (850) 362-6207
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- Alternative Living, IncCertificate of Waiver, Assisted living facility10D0953730
- Basil D Fossum MD PACertificate for Provider-Performed Microscopy Procedures, Physician office10D2284940
- Bay Port Assisted Living IncCertificate of Waiver, Assisted living facility10D2240027
- Belvedere Commons of Fort Walton BeachCertificate of Waiver, Other10D0979325
- Bio Medical Applications of FloridaCertificate of Waiver, End stage renal disease dialysis facility10D2140071
- Biomat USA IncCertificate of Accreditation, Other10D2129840
- Borland Groover Clinic, PACertificate of Waiver, Physician office10D2347719
- Bridgeway Center IncCertificate of Waiver, Other10D0271523
Related
Questions
What is the CLIA number for Florida Mentor II LLC in Fort Walton Beach?
10D0860494, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Florida Mentor II LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0860494 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.