CLIA lab
CLIA 10D1103207: Costco Pharmacy #93
Lake Park, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1103207 belongs to Costco Pharmacy #93 in Lake Park, FL.
Certificate of Waiver, effective August 5, 2025, expires August 4, 2027.
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
- August 5, 2025
- Certificate expiration
- August 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 5, 2009
- Facility type
- Pharmacy
- 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
- 10D1103207
- Lab name
- Costco Pharmacy #93
- Address
- 3250 Northlake Blvd, Lake Park, FL 33403
- Phone
- (561) 776-3037
- Fax
- (561) 776-3046
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake Park, FL
- Axia Medica LLCCertificate of Waiver, Independent10D2340215
- Conviva Medical Center Management, LLCCertificate of Waiver, Physician office10D2214450
- Fenix Recovery LLCCertificate of Waiver, Other10D2301400
- Florida Oasis Bayberry LLC DBA Florida OasisCertificate of Waiver, Other10D2311779
- Life Integration Recovery, LLCCertificate of Waiver, Comprehensive outpatient rehab facility10D2145004
- Milton Recovery LLCCertificate of Waiver, Other10D2307489
- North Lake Nursing and Rehab LLCCertificate of Waiver, Skilled nursing or nursing facility10D0712913
- Reasons for Change, LLC DBA Florida OasisCertificate of Waiver, Other10D2168749
- Reprieve, LLCCertificate of Waiver, Other10D2144754
- Robalo PharmacyCertificate of Waiver, Pharmacy10D2237170
Related
Questions
What is the CLIA number for Costco Pharmacy #93 in Lake Park?
10D1103207, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Costco Pharmacy #93 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1103207 expire?
The CMS file lists August 4, 2027 as the certificate expiration date; the certificate took effect August 5, 2025.