CLIA lab
CLIA 10D1022173: Douglas T Jacobson State Veterans Home
Port Charlotte, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1022173 belongs to Douglas T Jacobson State Veterans Home in Port Charlotte, FL.
Certificate of Waiver, effective February 9, 2026, expires February 8, 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
- February 9, 2026
- Certificate expiration
- February 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 9, 2004
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, state
- 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
- 10D1022173
- Lab name
- Douglas T Jacobson State Veterans Home
- Address
- 21281 Grayton Terrace, Port Charlotte, FL 33954
- Phone
- (941) 613-0919
- Fax
- (941) 613-0935
Annual test volume the lab reported
- Waived tests
- 16,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Douglas Jacobson State Veterans Nursing HomeCMS Care Compare ratings for the facility at the same street address
Other labs in Port Charlotte, FL
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- Adventhealth Medical Group Obstetrics &Certificate of Waiver, Physician office10D2027680
- Adventhealth Port Charlotte IncCertificate of Accreditation, Hospital10D0294715
- Advocate Radiation Oncology, LLCCertificate of Waiver, Physician office10D2172676
- Afc Urgent Care - Port CharlotteCertificate of Waiver, Other practitioner10D2295018
- Affinity Care of Charlotte and Desoto LLCCertificate of Waiver, Hospice10D2301698
- AkuminCertificate of Waiver, Other10D1071656
- Allied Family Health, LLCCertificate of Waiver, Physician office10D2233512
- Ambitrans Medical Transport IncCertificate of Waiver, Other10D0893194
- Apogee Medical AssociatesCertificate of Waiver, Physician office10D2148564
Related
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- Dialysis Centers in Port Charlotte, FL
- Hospitals in Port Charlotte, FL
- NPI records in Port Charlotte, FL
- CLIA lookup
Questions
What is the CLIA number for Douglas T Jacobson State Veterans Home in Port Charlotte?
10D1022173, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Douglas T Jacobson State Veterans Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1022173 expire?
The CMS file lists February 8, 2028 as the certificate expiration date; the certificate took effect February 9, 2026.