CLIA lab
CLIA 10D1035100: Kidsville Pediatrics III PA
Clermont, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1035100 belongs to Kidsville Pediatrics III PA in Clermont, FL.
Certificate of Waiver, effective December 21, 2024, expires December 20, 2026.
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
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
- December 21, 2024
- Certificate expiration
- December 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 2004
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D1035100
- Lab name
- Kidsville Pediatrics III PA
- Address
- 1804 Oakley Seaver Dr Ste C, Clermont, FL 34711
- Phone
- (407) 646-2999
- Fax
- (407) 876-7423
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Clermont, FL
- Ability Care Services IncCertificate of Waiver, Home health agency10D2210295
- Advanced Dermatology and Cosmetic SurgeryCertificate of Accreditation, Physician office10D1036755
- Adventhealth Centra CareCertificate of Waiver, Other10D2327351
- 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 Kidsville Pediatrics III PA in Clermont?
10D1035100, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kidsville Pediatrics III PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1035100 expire?
The CMS file lists December 20, 2026 as the certificate expiration date; the certificate took effect December 21, 2024.