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CLIA 10D1090473: Premier Spine & Pain Center
Orange Park, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1090473 belongs to Premier Spine & Pain Center in Orange Park, FL.
Certificate of Waiver, effective October 13, 2024, expiration date October 12, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 13, 2024
- Certificate expiration
- October 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 13, 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
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Lab and contact
- CLIA number
- 10D1090473
- Lab name
- Premier Spine & Pain Center
- Address
- 1543 Kingsley Ave, Bldg 3, Orange Park, FL 32073
- Phone
- (904) 264-0770
- Fax
- (904) 264-0670
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Orange Park, FL
- 1 Primary CareCertificate of Waiver, Physician office10D2308129
- Advanced Dermatology and Cosmetic SurgeryCertificate of Compliance, Physician office10D0722985
- Afa Pain Specialists IncCertificate of Waiver, Physician office10D2094553
- Archwell Health Medical of Florida LLCCertificate of Waiver, Physician office10D2320961
- Ashchi Heart and Vascular CenterCertificate of Waiver, Physician office10D2123557
- Aviata at Orange ParkCertificate of Waiver, Skilled nursing or nursing facility10D0267192
- B-Leeve Primary Care IncCertificate of Waiver, Health fair10D2321856
- Baptist Medical Center ClayCertificate of Accreditation, Hospital10D2053343
- Baptist Primary CareCertificate of Accreditation, Physician office10D0267247
- Baptist Primary CareCertificate of Waiver, Physician office10D2108999
Related
Questions
What is the CLIA number for Premier Spine & Pain Center in Orange Park?
10D1090473, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premier Spine & Pain Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1090473 expire?
The CMS file lists October 12, 2026 as the certificate expiration date; the certificate took effect October 13, 2024.
RUN IT IN RIVVI
Map your lab's test names to LOINC codes
Map the testsFree to start. Opens Rivvi, the AI workspace for healthcare teams.
2M+ interactions500K+ patientsHIPAA BAA