CLIA lab

CLIA 10D0913334: Lake Pediatrics PA

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

CLIA number 10D0913334 belongs to Lake Pediatrics PA in Mount Dora, FL.

Certificate of Waiver, effective April 29, 2025, expires April 28, 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
April 29, 2025
Certificate expiration
April 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 28, 1996
Facility type
Rural health clinic
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
10D0913334
Lab name
Lake Pediatrics PA
Address
4880 N Hwy 19A, Mount Dora, FL 32757
Phone
(352) 638-4997
Fax
(352) 589-8495

Annual test volume the lab reported

Waived tests
2,714

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

Other labs in Mount Dora, FL

Related

Questions

What is the CLIA number for Lake Pediatrics PA in Mount Dora?

10D0913334, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake Pediatrics PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D0913334 expire?

The CMS file lists April 28, 2027 as the certificate expiration date; the certificate took effect April 29, 2025.

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