CLIA lab

CLIA 10D0959136: Calvin Blount JR MD PA

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

CLIA number 10D0959136 belongs to Calvin Blount JR MD PA in Destin, FL.

Certificate of Waiver, effective April 5, 2025, expires April 4, 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
April 5, 2025
Certificate expiration
April 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 5, 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
10D0959136
Lab name
Calvin Blount JR MD PA
Address
4012 Commons Dr W Suite 120, Destin, FL 32541
Phone
(850) 837-4844
Fax
(850) 837-6625

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.

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Related

Questions

What is the CLIA number for Calvin Blount JR MD PA in Destin?

10D0959136, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Calvin Blount JR MD PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D0959136 expire?

The CMS file lists April 4, 2027 as the certificate expiration date; the certificate took effect April 5, 2025.

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