CLIA lab
CLIA 10D1040640: Hawthorn House
Shalimar, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1040640 belongs to Hawthorn House in Shalimar, FL.
Certificate of Waiver, effective May 13, 2025, expires May 12, 2027.
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 13, 2025
- Certificate expiration
- May 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 13, 2005
- Facility type
- Other
- Ownership (control type)
- Private
- 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
- 10D1040640
- Lab name
- Hawthorn House
- Address
- 1200 Hawthorn House Dr, Shalimar, FL 32579
- Phone
- (850) 609-2550
- Fax
- (850) 609-2553
Other labs in Shalimar, FL
Related
Questions
What is the CLIA number for Hawthorn House in Shalimar?
10D1040640, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hawthorn House hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1040640 expire?
The CMS file lists May 12, 2027 as the certificate expiration date; the certificate took effect May 13, 2025.