CLIA lab

CLIA 10D0919544: Indian River Medical Office PA

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

CLIA number 10D0919544 belongs to Indian River Medical Office PA in Titusville, FL.

Certificate of Waiver, effective April 2, 2026, expires April 1, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
April 2, 2026
Certificate expiration
April 1, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 11, 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
10D0919544
Lab name
Indian River Medical Office PA
Address
3300 Dairy Rd, Titusville, FL 32796
Phone
(321) 269-6530
Fax
(321) 269-2334

Annual test volume the lab reported

Waived tests
600

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

Other labs in Titusville, FL

Related

Questions

What is the CLIA number for Indian River Medical Office PA in Titusville?

10D0919544, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Indian River Medical Office PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D0919544 expire?

The CMS file lists April 1, 2028 as the certificate expiration date; the certificate took effect April 2, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.