CLIA lab
CLIA 10D1074671: Adventhealth Medical Group Pediatrics
Palm Coast, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1074671 belongs to Adventhealth Medical Group Pediatrics in Palm Coast, FL.
Certificate of Waiver, effective November 2, 2025, expires November 1, 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
- November 2, 2025
- Certificate expiration
- November 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 2007
- 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
- 10D1074671
- Lab name
- Adventhealth Medical Group Pediatrics
- Additional name
- At Palm Coast
- Address
- 61 Memorial Medical Pkwy, Ste 3811, Palm Coast, FL 32164
- Phone
- (386) 986-4919
- Fax
- (386) 586-4674
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Palm Coast, FL
- Acute Care Pediatrics of Palm Coast PACertificate of Waiver, Physician office10D1049486
- Advanced Dermatology and Cosmetic SurgeryCertificate of Accreditation, Physician office10D2155365
- Advanced Dermatology and Cosmetic SurgeryCertificate for Provider-Performed Microscopy Procedures, Physician office10D2157867
- Advanced Urology Institute LLCCertificate for Provider-Performed Microscopy Procedures, Physician office10D0964695
- Adventhealth Centra CareCertificate of Waiver, Other10D2328451
- Adventhealth HospiceCertificate of Waiver, Hospice10D2286776
- Adventhealth LabCertificate of Accreditation, Hospital10D0666938
- Adventhealth LabCertificate of Waiver, Ambulatory surgery center10D1086548
- Adventhealth LabCertificate of Waiver, Ancillary test site10D2043319
- Adventhealth LabCertificate of Accreditation, Hospital10D2285199
Related
Questions
What is the CLIA number for Adventhealth Medical Group Pediatrics in Palm Coast?
10D1074671, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventhealth Medical Group Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1074671 expire?
The CMS file lists November 1, 2027 as the certificate expiration date; the certificate took effect November 2, 2025.