CLIA lab

CLIA 10D1059559: KC Integrative Wellness LLC

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

CLIA number 10D1059559 belongs to KC Integrative Wellness LLC in Crestview, FL.

Certificate of Waiver, effective February 12, 2026, expires February 11, 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
February 12, 2026
Certificate expiration
February 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 3, 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
10D1059559
Lab name
KC Integrative Wellness LLC
Address
327 Medcrest Drive Unit A, Crestview, FL 32536
Phone
(850) 423-0761
Fax
(855) 793-3568

Annual test volume the lab reported

Waived tests
450

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 KC Integrative Wellness LLC in Crestview?

10D1059559, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does KC Integrative Wellness LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1059559 expire?

The CMS file lists February 11, 2028 as the certificate expiration date; the certificate took effect February 12, 2026.

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