CLIA lab
CLIA 10D0904134: Lake Park of Madison
Madison, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0904134 belongs to Lake Park of Madison in Madison, FL.
Certificate of Waiver, effective August 9, 2025, expires August 8, 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 9, 2025
- Certificate expiration
- August 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 9, 1995
- 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
- 10D0904134
- Lab name
- Lake Park of Madison
- Address
- 259 SW Captain Brown Rd, Madison, FL 32340
- Phone
- (850) 973-8277
- Fax
- (850) 973-4006
Care facility at this address
- Lake Park of Madison Nursing and Rehabilitation CeCMS Care Compare ratings for the facility at the same street address
Other labs in Madison, FL
- Apalachee Center IncCertificate of Waiver, Other10D2242691
- Blaine Payne IncCertificate of Waiver, Physician office10D2110117
- CG Madison, LLCCertificate of Waiver, Skilled nursing or nursing facility10D0724952
- Down Home MedicalCertificate of Waiver, Physician office10D1009892
- Family First Wellness Clinic IncCertificate of Waiver, Other10D0885865
- Four Freedoms DialysisCertificate of Waiver, End stage renal disease dialysis facility10D0947012
- Little Pine PediatricsCertificate of Waiver, Physician office10D2043308
- Madison Ci and Madison Work CampCertificate of Waiver, Prison10D2114809
- Madison Co Memorial Hospital Clinical LaboratoryCertificate of Compliance, Hospital10D0023027
- Madison County Health DepartmentCertificate for Provider-Performed Microscopy Procedures, Public health laboratory10D1081603
Related
Questions
What is the CLIA number for Lake Park of Madison in Madison?
10D0904134, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Park of Madison hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0904134 expire?
The CMS file lists August 8, 2027 as the certificate expiration date; the certificate took effect August 9, 2025.