CLIA lab
CLIA 10D0995491: Pediatric Associates of Jacksonville PA
Ponte Vedra Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D0995491 belongs to Pediatric Associates of Jacksonville PA in Ponte Vedra Beach, FL.
Certificate of Waiver, effective April 25, 2025, expires April 24, 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 25, 2025
- Certificate expiration
- April 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 2002
- 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
- 10D0995491
- Lab name
- Pediatric Associates of Jacksonville PA
- Address
- 1102 A1A North Ste #104, Ponte Vedra Beach, FL 32082
- Phone
- (904) 273-6533
- Fax
- (904) 273-6532
Annual test volume the lab reported
- Waived tests
- 4,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ponte Vedra Beach, FL
- Aqua Dermatology of Florida PACertificate of Compliance, Physician office10D2093798
- Baptist Primary Care IncCertificate of Waiver, Physician office10D2187519
- Baptist Primary Care IncCertificate of Waiver, Physician office10D2315734
- Baptist Primary Care Ponte VedraCertificate of Waiver, Physician office10D0903603
- Beaches Dermatology PACertificate of Waiver, Physician office10D0673097
- Contoura Investments, LLCCertificate of Waiver, Physician office10D2233148
- Health DesignsCertificate of Waiver, Health fair10D0898585
- Life Care Ponte Vedra IncCertificate of Waiver, Skilled nursing or nursing facility10D0645074
- Millennium Physician Group LLCCertificate of Waiver, Physician office10D1026707
- North Florida SurgeonsCertificate of Waiver, Physician office10D2092471
Related
Questions
What is the CLIA number for Pediatric Associates of Jacksonville PA in Ponte Vedra Beach?
10D0995491, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric Associates of Jacksonville PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D0995491 expire?
The CMS file lists April 24, 2027 as the certificate expiration date; the certificate took effect April 25, 2025.