CLIA lab
CLIA 10D1092928: Pccc of Volusia LLC
New Smyrna Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1092928 belongs to Pccc of Volusia LLC in New Smyrna Beach, FL.
Certificate of Waiver, effective January 27, 2026, expires January 26, 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
- January 27, 2026
- Certificate expiration
- January 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 8, 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
- 10D1092928
- Lab name
- Pccc of Volusia LLC
- Address
- 1055 N Dixie Freeway Ste 1, New Smyrna Beach, FL 32168
- Phone
- (386) 423-0505
- Fax
- (386) 423-0515
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Adventhealth LabCertificate of Accreditation, Hospital10D0268009
- Adventhealth LabCertificate of Waiver, Hospital10D1099707
- Adventhealth LabCertificate of Waiver, Other10D2146645
- Adventhealth Medical GroupCertificate of Waiver, Other10D2085349
- Adventhealth Medical GroupCertificate of Waiver, Other10D2085350
- Adventhealth Medical GroupCertificate of Waiver, Other10D2090227
- Adventhealth Medical Group Family MedicineCertificate of Waiver, Physician office10D2174552
Related
Questions
What is the CLIA number for Pccc of Volusia LLC in New Smyrna Beach?
10D1092928, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pccc of Volusia LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1092928 expire?
The CMS file lists January 26, 2028 as the certificate expiration date; the certificate took effect January 27, 2026.