CLIA lab
CLIA 10D0936355: Alex L Gonzalez MD PA
Lake City, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0936355 belongs to Alex L Gonzalez MD PA in Lake City, FL.
Certificate of Waiver, effective January 21, 2025, expires January 20, 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
- January 21, 2025
- Certificate expiration
- January 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 19, 1997
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 10D0936355
- Lab name
- Alex L Gonzalez MD PA
- Address
- 4251 NW American Lane, Lake City, FL 32055
- Phone
- (386) 758-6143
- Fax
- (386) 758-6046
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Related
Questions
What is the CLIA number for Alex L Gonzalez MD PA in Lake City?
10D0936355, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Alex L Gonzalez MD PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0936355 expire?
The CMS file lists January 20, 2027 as the certificate expiration date; the certificate took effect January 21, 2025.