CLIA lab
CLIA 10D0936063: Autumn House Holdco LLC
Melbourne, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0936063 belongs to Autumn House Holdco LLC in Melbourne, FL.
Certificate of Waiver, effective November 14, 2025, expires November 13, 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
- November 14, 2025
- Certificate expiration
- November 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 14, 1997
- Facility type
- Assisted living facility
- 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
- 10D0936063
- Lab name
- Autumn House Holdco LLC
- Address
- 7999 Spyglass Hill Road, Melbourne, FL 32940
- Phone
- (321) 242-1006
- Fax
- (321) 242-1997
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ajl Nursing Services LLCCertificate of Waiver, Home health agency10D2163610
- All Ways Caring Home CareCertificate of Waiver, Home health agency10D0970863
- Amedisys Hospice of BrevardCertificate of Waiver, Hospice10D2300379
- Apollo Surgery CenterCertificate of Waiver, Ambulatory surgery center10D1092078
- Aqua Dermatology of Florida PACertificate of Waiver, Physician office10D2179198
- Arcand Family PracticeCertificate of Waiver, Physician office10D1098013
Related
Questions
What is the CLIA number for Autumn House Holdco LLC in Melbourne?
10D0936063, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Autumn House Holdco LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0936063 expire?
The CMS file lists November 13, 2027 as the certificate expiration date; the certificate took effect November 14, 2025.