CLIA lab
CLIA 10D1090616: Premise Health of Florida Medical PA
Lake Buena Vista, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1090616 belongs to Premise Health of Florida Medical PA in Lake Buena Vista, FL.
Certificate of Waiver, effective October 15, 2026, expires October 14, 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
- October 15, 2026
- Certificate expiration
- October 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 15, 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
- 10D1090616
- Lab name
- Premise Health of Florida Medical PA
- Address
- 960 Back Stage Ln, Lake Buena Vista, FL 32830
- Phone
- (407) 934-4100
- Fax
- (407) 628-2037
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake Buena Vista, FL
Related
Questions
What is the CLIA number for Premise Health of Florida Medical PA in Lake Buena Vista?
10D1090616, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Florida Medical PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1090616 expire?
The CMS file lists October 14, 2028 as the certificate expiration date; the certificate took effect October 15, 2026.