CLIA lab

CLIA 10D0995492: Modular Freestanding Surgery Center

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

CLIA number 10D0995492 belongs to Modular Freestanding Surgery Center in Lake Butler, FL.

Certificate of Waiver, effective January 22, 2026, expires January 21, 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 22, 2026
Certificate expiration
January 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 22, 2002
Facility type
Other
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
10D0995492
Lab name
Modular Freestanding Surgery Center
Address
7765 South CR 231, Lake Butler, FL 32054
Phone
(407) 849-2288
Fax
(407) 849-6412

Annual test volume the lab reported

Waived tests
300

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 Modular Freestanding Surgery Center in Lake Butler?

10D0995492, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Modular Freestanding Surgery Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D0995492 expire?

The CMS file lists January 21, 2028 as the certificate expiration date; the certificate took effect January 22, 2026.

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