CLIA lab

CLIA 10D0956642: David Simon DO

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

CLIA number 10D0956642 belongs to David Simon DO in Lake Worth, FL.

Certificate of Waiver, effective February 2, 2025, expires February 1, 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
February 2, 2025
Certificate expiration
February 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 2, 1999
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
10D0956642
Lab name
David Simon DO
Address
101 South Federal Hwy, Lake Worth, FL 33460
Phone
(561) 582-1091
Fax
(561) 582-4393

Annual test volume the lab reported

Waived tests
500

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

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Related

Questions

What is the CLIA number for David Simon DO in Lake Worth?

10D0956642, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does David Simon DO hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D0956642 expire?

The CMS file lists February 1, 2027 as the certificate expiration date; the certificate took effect February 2, 2025.

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