CLIA lab
CLIA 10D1022456: Mary Rose Boehm MD PA
Clermont, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1022456 belongs to Mary Rose Boehm MD PA in Clermont, FL.
Certificate of Waiver, effective February 17, 2026, expires February 16, 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 17, 2026
- Certificate expiration
- February 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 17, 2004
- 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
- 10D1022456
- Lab name
- Mary Rose Boehm MD PA
- Address
- 1655 East Highway 50 Suite 202, Clermont, FL 34711
- Phone
- (352) 242-1430
- Fax
- (352) 242-1452
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Adventhealth Centra Care ClermontCertificate of Waiver, Physician office10D1048409
- Adventhealth Imaging Center ClermontCertificate of Waiver, Physician office10D2240392
- Adventhealth LabCertificate of Accreditation, Hospital10D2238812
- Adventhealth LabCertificate of Waiver, Hospital10D2238899
- Adventhealth Medical Group Diabetes &Certificate of Waiver, Physician office10D2348015
- Adventhealth Medical Group Health Park atCertificate of Waiver, Physician office10D2250334
- Adventhealth Medical Group Primary CareCertificate of Waiver, Physician office10D2305737
Related
Questions
What is the CLIA number for Mary Rose Boehm MD PA in Clermont?
10D1022456, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mary Rose Boehm MD PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1022456 expire?
The CMS file lists February 16, 2028 as the certificate expiration date; the certificate took effect February 17, 2026.