CLIA lab

CLIA 10D0931440: Pediatric Healthcare Alliance

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

CLIA number 10D0931440 belongs to Pediatric Healthcare Alliance in Lutz, FL.

Certificate of Waiver, effective March 27, 2025, expires March 26, 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
March 27, 2025
Certificate expiration
March 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 30, 1997
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
10D0931440
Lab name
Pediatric Healthcare Alliance
Address
1854 Oak Grove Blvd, Lutz, FL 33559
Phone
(813) 854-2003
Fax
(813) 855-2367

Annual test volume the lab reported

Waived tests
1,000

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

Other labs in Lutz, FL

Related

Questions

What is the CLIA number for Pediatric Healthcare Alliance in Lutz?

10D0931440, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric Healthcare Alliance hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D0931440 expire?

The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect March 27, 2025.

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