CLIA lab
CLIA 10D0958171: Kidsville Pediatrics
Davenport, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0958171 belongs to Kidsville Pediatrics in Davenport, 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
- March 12, 1999
- 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
- 10D0958171
- Lab name
- Kidsville Pediatrics
- Address
- 2201 North Blvd West, Davenport, FL 33837
- Phone
- (863) 419-0688
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 Davenport, FL
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- Adventhealth Bond ClinicCertificate of Waiver, Physician office10D2245853
- Adventhealth Centra Care DavenportCertificate of Waiver, Other10D2337882
- Adventhealth Centra Care Four CornersCertificate of Waiver, Other10D2340815
- Adventhealth Corporate Care DavenportCertificate of Waiver, Other10D2030149
- Adventhealth LabCertificate of Accreditation, Hospital10D0645614
- Adventhealth Medical Group Obstetrics & GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office10D0944093
- Adventhealth Medical Group Weight LossCertificate of Waiver, Physician office10D2295473
- Adventhealth Primary Care Champions GateCertificate of Waiver, Physician office10D2328616
- Adventhealth Primary Care+ DavenportCertificate of Waiver, Other10D2337891
Related
Questions
What is the CLIA number for Kidsville Pediatrics in Davenport?
10D0958171, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kidsville Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0958171 expire?
The CMS file lists March 11, 2027 as the certificate expiration date; the certificate took effect March 12, 2025.