CLIA lab

CLIA 10D1050075: Myrtle Ridge Primary Care PA

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

CLIA number 10D1050075 belongs to Myrtle Ridge Primary Care PA in Lutz, FL.

Certificate of Waiver, effective April 24, 2026, expires April 23, 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
April 24, 2026
Certificate expiration
April 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 25, 2006
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
10D1050075
Lab name
Myrtle Ridge Primary Care PA
Address
1539 Dale Mabry Hwy, Lutz, FL 33548
Phone
(813) 909-7102
Fax
(813) 909-0199

Annual test volume the lab reported

Waived tests
690

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 Myrtle Ridge Primary Care PA in Lutz?

10D1050075, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Myrtle Ridge Primary Care PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1050075 expire?

The CMS file lists April 23, 2028 as the certificate expiration date; the certificate took effect April 24, 2026.

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