CLIA lab

CLIA 10D1079642: Addison Mizner Medical LLC

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

CLIA number 10D1079642 belongs to Addison Mizner Medical LLC in Boca Raton, FL.

Certificate of Waiver, effective February 4, 2026, expires February 3, 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 4, 2026
Certificate expiration
February 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 4, 2008
Facility type
Mobile lab
Ownership (control type)
Private
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
10D1079642
Lab name
Addison Mizner Medical LLC
Address
233 S Federal Hwy Ste 103, Boca Raton, FL 33432
Phone
(561) 347-2996
Fax
(561) 347-2998

Annual test volume the lab reported

Waived tests
1,251

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

Other labs in Boca Raton, FL

Related

Questions

What is the CLIA number for Addison Mizner Medical LLC in Boca Raton?

10D1079642, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Addison Mizner Medical LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1079642 expire?

The CMS file lists February 3, 2028 as the certificate expiration date; the certificate took effect February 4, 2026.

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