CLIA lab
CLIA 10D1026019: White Wilson Medical Center
Fort Walton Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1026019 belongs to White Wilson Medical Center in Fort Walton Beach, FL.
Certificate of Waiver, effective May 25, 2026, expires May 24, 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
- May 25, 2026
- Certificate expiration
- May 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 25, 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
- 10D1026019
- Lab name
- White Wilson Medical Center
- Additional name
- Immediate Care Fort Walton
- Address
- 1005 Mar Walt Dr, Fort Walton Beach, FL 32547
- Phone
- (850) 863-8284
- Fax
- (850) 862-5989
Annual test volume the lab reported
- Waived tests
- 1,950
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Basil D Fossum MD PACertificate for Provider-Performed Microscopy Procedures, Physician office10D2284940
- Bay Port Assisted Living IncCertificate of Waiver, Assisted living facility10D2240027
- Belvedere Commons of Fort Walton BeachCertificate of Waiver, Other10D0979325
- Bio Medical Applications of FloridaCertificate of Waiver, End stage renal disease dialysis facility10D2140071
- Biomat USA IncCertificate of Accreditation, Other10D2129840
- Borland Groover Clinic, PACertificate of Waiver, Physician office10D2347719
- Bridgeway Center IncCertificate of Waiver, Other10D0271523
Related
Questions
What is the CLIA number for White Wilson Medical Center in Fort Walton Beach?
10D1026019, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does White Wilson Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1026019 expire?
The CMS file lists May 24, 2028 as the certificate expiration date; the certificate took effect May 25, 2026.