CLIA lab

CLIA 10D1042240: Hernando Pasco Primary Care, LLC

Lutz, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D1042240 belongs to Hernando Pasco Primary Care, LLC in Lutz, FL.

Certificate of Waiver, effective June 22, 2025, expires June 21, 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
June 22, 2025
Certificate expiration
June 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 22, 2005
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
10D1042240
Lab name
Hernando Pasco Primary Care, LLC
Additional name
DBA Mycare Medical
Address
18928 N Dale Mabry Hwy - Ste 101, Lutz, FL 33548
Phone
(813) 909-1146
Fax
(813) 909-4334

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Hernando Pasco Primary Care, LLC in Lutz?

10D1042240, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hernando Pasco Primary Care, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1042240 expire?

The CMS file lists June 21, 2027 as the certificate expiration date; the certificate took effect June 22, 2025.

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