CLIA lab
CLIA 10D1048691: Conviva Medical Center Management, LLC
Tamarac, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1048691 belongs to Conviva Medical Center Management, LLC in Tamarac, FL.
Certificate of Waiver, effective December 8, 2025, expires December 7, 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
- December 8, 2025
- Certificate expiration
- December 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 8, 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
- 10D1048691
- Lab name
- Conviva Medical Center Management, LLC
- Address
- 7686 Nob Hill Rd, Tamarac, FL 33321
- Phone
- (954) 597-0135
- Fax
- (954) 720-0492
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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- Akkil Ali MD PACertificate of Waiver, Physician office10D1034931
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- Andrew Gardner LoganCertificate of Waiver, Physician office10D2005612
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- BSS International IncCertificate of Waiver, Other10D0285519
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Related
Questions
What is the CLIA number for Conviva Medical Center Management, LLC in Tamarac?
10D1048691, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Conviva Medical Center Management, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1048691 expire?
The CMS file lists December 7, 2027 as the certificate expiration date; the certificate took effect December 8, 2025.