CLIA lab

CLIA 10D0968191: Ormond Family Medical Center PLLC

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

CLIA number 10D0968191 belongs to Ormond Family Medical Center PLLC in Ormond Beach, FL.

Certificate of Waiver, effective October 11, 2025, expires October 10, 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
October 11, 2025
Certificate expiration
October 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 6, 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
10D0968191
Lab name
Ormond Family Medical Center PLLC
Address
545 W Granda Blvd, Ormond Beach, FL 32174
Phone
(904) 672-6243
Fax
(904) 677-7463

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 Ormond Beach, FL

Related

Questions

What is the CLIA number for Ormond Family Medical Center PLLC in Ormond Beach?

10D0968191, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ormond Family Medical Center PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D0968191 expire?

The CMS file lists October 10, 2027 as the certificate expiration date; the certificate took effect October 11, 2025.

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