CLIA lab
CLIA 10D0995168: Shane C Hernesman MD PA
Cocoa Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0995168 belongs to Shane C Hernesman MD PA in Cocoa Beach, FL.
Certificate of Waiver, effective January 11, 2026, expires January 10, 2028.
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
- January 11, 2026
- Certificate expiration
- January 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 2002
- Facility type
- Physician office
- Ownership (control type)
- Unknown
- 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
- 10D0995168
- Lab name
- Shane C Hernesman MD PA
- Address
- 1980 N Atlantic Ave #630, Cocoa Beach, FL 32931
- Phone
- (321) 453-5888
- Fax
- (321) 453-5233
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- Cape Canaveral HospitalCertificate of Accreditation, Hospital10D0276048
- Cocoa Beach Family MedicineCertificate of Waiver, Physician office10D2321741
- Complete Care LLCCertificate of Waiver, Physician office10D2256475
- Dixitkumar N Modi MD PACertificate of Waiver, Physician office10D2176347
- Florida Dermatology Associates IncCertificate of Compliance, Physician office10D0939580
- Florida Eye Associates IncCertificate of Waiver, Physician office10D2072506
- Health First Adventhealth Centra Care CocoaCertificate of Waiver, Other10D2185283
- Health First Medical Group LLCCertificate for Provider-Performed Microscopy Procedures, Physician office10D0979579
- Health First Medical Group LLCCertificate of Waiver, Physician office10D2006086
Related
Questions
What is the CLIA number for Shane C Hernesman MD PA in Cocoa Beach?
10D0995168, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shane C Hernesman MD PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0995168 expire?
The CMS file lists January 10, 2028 as the certificate expiration date; the certificate took effect January 11, 2026.