CLIA lab
CLIA 10D1085687: Main Street Medical Center of Crestview PA
Crestview, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1085687 belongs to Main Street Medical Center of Crestview PA in Crestview, FL.
Certificate of Waiver, effective June 24, 2026, expires June 23, 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
- June 24, 2026
- Certificate expiration
- June 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 2008
- Facility type
- Mobile lab
- 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
- 10D1085687
- Lab name
- Main Street Medical Center of Crestview PA
- Address
- 369 N Main St, Crestview, FL 32536
- Phone
- (850) 398-6963
- Fax
- (850) 398-8277
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.
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- Aviata at Shoal CreekCertificate of Waiver, Skilled nursing or nursing facility10D0967035
- Barnes Healthcare of Florida LLCCertificate of Waiver, Other10D2200967
- Belfiore Wellness CenterCertificate of Waiver, Other practitioner10D2219903
- Childrens ClinicCertificate of Waiver, Physician office10D0897641
- Christopher MD and Associates PACertificate of Waiver, Physician office10D1049356
- Clearway Surgery Center of Crestview LLCCertificate of Waiver, Ambulatory surgery center10D2226614
- Crestview Rehabilitation Center LLCCertificate of Waiver, Skilled nursing or nursing facility10D0701822
Related
Questions
What is the CLIA number for Main Street Medical Center of Crestview PA in Crestview?
10D1085687, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Main Street Medical Center of Crestview PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1085687 expire?
The CMS file lists June 23, 2028 as the certificate expiration date; the certificate took effect June 24, 2026.