CLIA lab

CLIA 10D0892964: Conviva Care Center

Port Orange, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D0892964 belongs to Conviva Care Center in Port Orange, FL.

Certificate of Waiver, effective October 12, 2026, expires October 11, 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
October 12, 2026
Certificate expiration
October 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 12, 1994
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
10D0892964
Lab name
Conviva Care Center
Address
3691 S Clyde Morris Blvd, Port Orange, FL 32129
Phone
(386) 388-7114
Fax
(866) 542-5859

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Conviva Care Center in Port Orange?

10D0892964, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Conviva Care Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D0892964 expire?

The CMS file lists October 11, 2028 as the certificate expiration date; the certificate took effect October 12, 2026.

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