CLIA lab
CLIA 10D0943818: Basil Mangra MD PA
Lauderdale Lakes, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0943818 belongs to Basil Mangra MD PA in Lauderdale Lakes, FL.
Certificate of Waiver, effective March 12, 2025, expires March 11, 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 12, 2025
- Certificate expiration
- March 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 3, 1998
- 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
- 10D0943818
- Lab name
- Basil Mangra MD PA
- Additional name
- DBA Lauderdale Lakes Medical Center
- Address
- 4357 North State Road 7, Lauderdale Lakes, FL 33319
- Phone
- (954) 484-6440
- Fax
- (954) 909-5381
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lauderdale Lakes, FL
- Access Family Health CareCertificate of Waiver, Physician office10D1105724
- Alina Health Medical Center CorpCertificate of Waiver, Other practitioner10D2263630
- All County Healthcare IncCertificate of Waiver, Home health agency10D1098413
- Alto Health Broward LLCCertificate of Waiver, Physician office10D2349304
- Blue Water Pain SolutionsCertificate of Waiver, Physician office10D2052884
- Caduceus Pharmacy II LLCCertificate of Waiver, Pharmacy10D2176705
- Carefinders Homecare, LLCCertificate of Waiver, Home health agency10D2265987
- Catholic Home Health Svcs of BrowardCertificate of Waiver, Home health agency10D0898987
- Catholic Hospice, IncCertificate of Waiver, Hospice10D2209157
- Christos Care Medical CorpCertificate of Waiver, Other practitioner10D2293817
Related
Questions
What is the CLIA number for Basil Mangra MD PA in Lauderdale Lakes?
10D0943818, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Basil Mangra MD PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0943818 expire?
The CMS file lists March 11, 2027 as the certificate expiration date; the certificate took effect March 12, 2025.