CLIA lab
CLIA 10D0874007: Lake Port Square Health Center
Leesburg, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0874007 belongs to Lake Port Square Health Center in Leesburg, FL.
Certificate of Waiver, effective August 4, 2025, expires August 3, 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
- August 4, 2025
- Certificate expiration
- August 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 4, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 10D0874007
- Lab name
- Lake Port Square Health Center
- Address
- 701 Lake Port Blvd, Leesburg, FL 34748
- Phone
- (352) 728-8525
- Fax
- (352) 728-6158
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Lake Port Square Health CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Leesburg, FL
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- Advanced Urology InstituteCertificate of Waiver, Physician office10D0298960
- Adventhealth Centra Care LeesburgCertificate of Waiver, Other10D2092650
- Adventhealth Home HealthCertificate of Waiver, Home health agency10D2164368
- Adventhealth Medical GroupCertificate of Waiver, Physician office10D2274050
- Adventhealth Medical Group CardiovascularCertificate of Waiver, Physician office10D2305318
- Adventhealth Medical Group OB GYN at LeesburgCertificate of Waiver, Physician office10D2298556
- Aegis Medical GroupCertificate of Waiver, Physician office10D2164231
- Aegis Medical Group, LLCCertificate of Waiver, Physician office10D1090962
- Alex M Uson MD PACertificate of Waiver, Physician office10D0974495
Related
Questions
What is the CLIA number for Lake Port Square Health Center in Leesburg?
10D0874007, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Port Square Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0874007 expire?
The CMS file lists August 3, 2027 as the certificate expiration date; the certificate took effect August 4, 2025.