CLIA lab

CLIA 10D0917821: George Idiculla MD

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

CLIA number 10D0917821 belongs to George Idiculla MD in Rockledge, FL.

Certificate of Waiver, effective July 26, 2026, expires July 25, 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
July 26, 2026
Certificate expiration
July 25, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 26, 1996
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
10D0917821
Lab name
George Idiculla MD
Address
1029 South Florida Ave, Rockledge, FL 32955
Phone
(321) 638-0888
Fax
(321) 631-3831

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.

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Related

Questions

What is the CLIA number for George Idiculla MD in Rockledge?

10D0917821, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does George Idiculla MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D0917821 expire?

The CMS file lists July 25, 2028 as the certificate expiration date; the certificate took effect July 26, 2026.

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