CLIA lab

CLIA 10D0999175: South Lake Ob-Gyn

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

CLIA number 10D0999175 belongs to South Lake Ob-Gyn in Clermont, FL.

Certificate for Provider-Performed Microscopy Procedures, effective March 14, 2025, expires March 13, 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 for Provider-Performed Microscopy Procedures
Certificate effective
March 14, 2025
Certificate expiration
March 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 7, 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
10D0999175
Lab name
South Lake Ob-Gyn
Address
1900 Don Wickham Dr Suite 120, Clermont, FL 34711
Phone
(352) 241-7050
Fax
(352) 241-7035

Annual test volume the lab reported

Waived tests
484
Provider-performed microscopy tests
427
Total
911

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 South Lake Ob-Gyn in Clermont?

10D0999175, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does South Lake Ob-Gyn hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 10D0999175 expire?

The CMS file lists March 13, 2027 as the certificate expiration date; the certificate took effect March 14, 2025.

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