CLIA lab
CLIA 10D1005453: Adventhealth Medical Group Family Medicine
Palm Coast, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1005453 belongs to Adventhealth Medical Group Family Medicine in Palm Coast, FL.
Certificate of Waiver, effective October 23, 2024, expiration date October 22, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 23, 2024
- Certificate expiration
- October 22, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 2002
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 10D1005453
- Lab name
- Adventhealth Medical Group Family Medicine
- Additional name
- At Palm Coast
- Address
- 61 Memorial Medical Pkwy #3813, Palm Coast, FL 32164
- Phone
- (386) 586-1710
- Fax
- (386) 586-1711
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Palm Coast, FL
- Acute Care Pediatrics of Palm Coast PACertificate of Waiver, Physician office10D1049486
- Advanced Dermatology and Cosmetic SurgeryCertificate of Accreditation, Physician office10D2155365
- Advanced Dermatology and Cosmetic SurgeryCertificate for Provider-Performed Microscopy Procedures, Physician office10D2157867
- Advanced Urology Institute LLCCertificate for Provider-Performed Microscopy Procedures, Physician office10D0964695
- Adventhealth Centra CareCertificate of Waiver, Other10D2328451
- Adventhealth HospiceCertificate of Waiver, Hospice10D2286776
- Adventhealth LabCertificate of Accreditation, Hospital10D0666938
- Adventhealth LabCertificate of Waiver, Ambulatory surgery center10D1086548
- Adventhealth LabCertificate of Waiver, Ancillary test site10D2043319
- Adventhealth LabCertificate of Accreditation, Hospital10D2285199
Related
Questions
What is the CLIA number for Adventhealth Medical Group Family Medicine in Palm Coast?
10D1005453, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventhealth Medical Group Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1005453 expire?
The CMS file lists October 22, 2026 as the certificate expiration date; the certificate took effect October 23, 2024.