CLIA lab
CLIA 10D1048790: North Florida Pediatrics PA
Jasper, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1048790 belongs to North Florida Pediatrics PA in Jasper, FL.
Certificate of Waiver, effective December 12, 2025, expires December 11, 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 12, 2025
- Certificate expiration
- December 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 12, 2005
- 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
- 10D1048790
- Lab name
- North Florida Pediatrics PA
- Address
- 1117 NW Highway 41 Suite B, Jasper, FL 32052
- Phone
- (386) 758-0003
Annual test volume the lab reported
- Waived tests
- 471
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Jasper, FL
- Cheek and Scott Drugs IncCertificate of Waiver, Pharmacy10D2125779
- Florida Department of Health Hamilton Co HealthCertificate for Provider-Performed Microscopy Procedures, Public health laboratory10D0894063
- Hamilton Ci Main Unit Annex/ Work CampCertificate of Waiver, Prison10D2114751
- Hamilton County EMSCertificate of Waiver, Ambulance10D0994229
- Renaldas A Smidtas MDCertificate of Waiver, Physician office10D0931513
- Rite of Passage IncCertificate of Waiver, School or student health service10D2222713
- Suwannee Valley Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility10D0990923
- Watson HealthcareCertificate of Waiver, Physician office10D2201091
Related
Questions
What is the CLIA number for North Florida Pediatrics PA in Jasper?
10D1048790, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does North Florida Pediatrics PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1048790 expire?
The CMS file lists December 11, 2027 as the certificate expiration date; the certificate took effect December 12, 2025.