CLIA lab

CLIA 10D1057937: Graceville Clinic

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

CLIA number 10D1057937 belongs to Graceville Clinic in Graceville, FL.

Certificate of Waiver, effective November 10, 2024, expires November 9, 2026.

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
November 10, 2024
Certificate expiration
November 9, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
August 24, 2006
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D1057937
Lab name
Graceville Clinic
Additional name
Affiliate of Northwest Florida Comm Hosp
Address
5429 College Dr Ste B, Graceville, FL 32440
Phone
(850) 415-8175
Fax
(850) 638-5764

Annual test volume the lab reported

Waived tests
1,100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Graceville, FL

Related

Questions

What is the CLIA number for Graceville Clinic in Graceville?

10D1057937, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Graceville Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1057937 expire?

The CMS file lists November 9, 2026 as the certificate expiration date; the certificate took effect November 10, 2024.

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