CLIA lab

CLIA 10D1084290: Jolita Klementaviciene MD PA

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

CLIA number 10D1084290 belongs to Jolita Klementaviciene MD PA in Gulf Breeze, FL.

Certificate of Waiver, effective May 20, 2026, expires May 19, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 20, 2026
Certificate expiration
May 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 20, 2008
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
10D1084290
Lab name
Jolita Klementaviciene MD PA
Address
1118 Gulf Breeze Pkwy Ste 205, Gulf Breeze, FL 32561
Phone
(850) 934-9050
Fax
(850) 934-9580

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.

Other labs in Gulf Breeze, FL

Related

Questions

What is the CLIA number for Jolita Klementaviciene MD PA in Gulf Breeze?

10D1084290, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jolita Klementaviciene MD PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1084290 expire?

The CMS file lists May 19, 2028 as the certificate expiration date; the certificate took effect May 20, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.