CLIA lab
CLIA 10D0935167: Lake Butler Family & Pediatric Clinic
Lake Butler, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0935167 belongs to Lake Butler Family & Pediatric Clinic in Lake Butler, FL.
Certificate for Provider-Performed Microscopy Procedures, effective March 1, 2025, expires February 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- March 1, 2025
- Certificate expiration
- February 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 22, 1997
- Facility type
- Other
- 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
- 10D0935167
- Lab name
- Lake Butler Family & Pediatric Clinic
- Address
- 850 East Main Street, Lake Butler, FL 32054
- Phone
- (904) 496-1922
- Fax
- (386) 496-2105
Annual test volume the lab reported
- Waived tests
- 2,500
- Provider-performed microscopy tests
- 100
- Total
- 2,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake Butler, FL
- Community Cancer Center of North FloridaCertificate of Waiver, Community clinic10D2003702
- Lake Butler HospitalCertificate of Accreditation, Hospital10D0645051
- Lake Butler Medical ClinicCertificate of Waiver, Physician office10D0724550
- Modular Freestanding Surgery CenterCertificate of Waiver, Other10D0995492
- Reception & Medical Center Nursing ServicesCertificate of Waiver, Other10D1021530
- Reception and Medical Center Clinical LaboratoryCertificate of Compliance, Prison10D0022561
- Union Direct Primary Care, LLCCertificate of Waiver, Physician office10D2236697
- Village Doctors Family Medical Center ofCertificate of Waiver, Physician office10D2085276
Related
Questions
What is the CLIA number for Lake Butler Family & Pediatric Clinic in Lake Butler?
10D0935167, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Butler Family & Pediatric Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 10D0935167 expire?
The CMS file lists February 28, 2027 as the certificate expiration date; the certificate took effect March 1, 2025.