CLIA lab
CLIA 10D1074553: Lake Endoscopy Center LLC
Summerfield, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1074553 belongs to Lake Endoscopy Center LLC in Summerfield, FL.
Certificate of Waiver, effective October 1, 2025, expires September 30, 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
- October 1, 2025
- Certificate expiration
- September 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 1, 2007
- Facility type
- Ambulatory surgery center
- 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
- 10D1074553
- Lab name
- Lake Endoscopy Center LLC
- Address
- 17355 SE 109th Terrace Road, Summerfield, FL 34491
- Phone
- (352) 245-0846
- Fax
- (352) 245-7768
Annual test volume the lab reported
- Waived tests
- 260
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Summerfield, FL
- Alliance Medical Associates IncCertificate of Waiver, Physician office10D0714817
- Anchored in Health, LLCCertificate of Waiver, Other10D2246161
- Cardiac and Vascular Constultants MdpaCertificate of Waiver, Physician office10D2219267
- Delcare PACertificate of Accreditation, Physician office10D2013403
- Executive Diagnostics LLCCertificate of Waiver, Mobile lab10D2347379
- Florida Medical Associates LLC DBA Vip CareCertificate of Waiver, Physician office10D2295959
- Gastroenterology AssociatesCertificate of Waiver, Physician office10D1022153
- HC Summerfield FL, LLCCertificate of Waiver, Assisted living facility10D2230932
- HCA Florida Summerfield Emergency A Part of HCACertificate of Accreditation, Other practitioner10D2117324
- Holiday CVS LLC DBA Cvs/Pharmacy #5226Certificate of Waiver, Pharmacy10D2221949
Related
Questions
What is the CLIA number for Lake Endoscopy Center LLC in Summerfield?
10D1074553, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Endoscopy Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1074553 expire?
The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.