CLIA lab

CLIA 10D1091568: Sacred Heart Medical Group

Santa Rosa Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D1091568 belongs to Sacred Heart Medical Group in Santa Rosa Beach, FL.

Certificate of Waiver, effective November 5, 2024, expires November 4, 2026.

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
November 5, 2024
Certificate expiration
November 4, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 5, 2008
Facility type
Physician office
Ownership (control type)
Religious affiliation
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
10D1091568
Lab name
Sacred Heart Medical Group
Additional name
Pediatric Mack Bayou
Address
179 Mack Bayou Loop, Santa Rosa Beach, FL 32459
Phone
(850) 278-3136
Fax
(850) 278-3104

Annual test volume the lab reported

Waived tests
2,000

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

Other labs in Santa Rosa Beach, FL

Related

Questions

What is the CLIA number for Sacred Heart Medical Group in Santa Rosa Beach?

10D1091568, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sacred Heart Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1091568 expire?

The CMS file lists November 4, 2026 as the certificate expiration date; the certificate took effect November 5, 2024.

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