CLIA lab

CLIA 10D1042829: Santa Rosa Medical Group

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

CLIA number 10D1042829 belongs to Santa Rosa Medical Group in Pace, FL.

Certificate of Waiver, effective July 11, 2025, expires July 10, 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
July 11, 2025
Certificate expiration
July 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 11, 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
10D1042829
Lab name
Santa Rosa Medical Group
Address
4225 Woodbine Rd Ste A, Pace, FL 32571
Phone
(850) 994-6575
Fax
(850) 994-5643

Annual test volume the lab reported

Waived tests
1,800

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 Santa Rosa Medical Group in Pace?

10D1042829, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Santa Rosa Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1042829 expire?

The CMS file lists July 10, 2027 as the certificate expiration date; the certificate took effect July 11, 2025.

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