CLIA lab
CLIA 10D1049477: Lake County Primary Medical Care LLC
Tavares, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1049477 belongs to Lake County Primary Medical Care LLC in Tavares, FL.
Certificate of Waiver, effective January 9, 2026, expires January 8, 2028.
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
- January 9, 2026
- Certificate expiration
- January 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 9, 2006
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 10D1049477
- Lab name
- Lake County Primary Medical Care LLC
- Address
- 1866 Mayo Dr, Tavares, FL 32778
- Phone
- (352) 383-0880
- Fax
- (352) 357-0334
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Adventhealth Centra Care TavaresCertificate of Waiver, Other10D2326111
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- Adventhealth LabCertificate of Accreditation, Hospital10D0721388
- Adventhealth LabCertificate of Waiver, Hospital10D0952868
- Adventhealth LabCertificate of Waiver, Ancillary test site10D1064851
- Adventhealth Medical Group CardiovascularCertificate of Waiver, Physician office10D0956572
- Adventhealth Medical Group Family & InternalCertificate of Waiver, Physician office10D0865210
- Adventhealth Medical Group OB GYN at WatermanCertificate of Waiver, Physician office10D2041974
- Adventhealth Medical Group Pediatrics atCertificate of Waiver, Physician office10D0983809
Related
Questions
What is the CLIA number for Lake County Primary Medical Care LLC in Tavares?
10D1049477, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake County Primary Medical Care LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1049477 expire?
The CMS file lists January 8, 2028 as the certificate expiration date; the certificate took effect January 9, 2026.