CLIA lab
CLIA 10D1103220: Costco Pharmacy #358
Brandon, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1103220 belongs to Costco Pharmacy #358 in Brandon, 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
- 10D1103220
- Lab name
- Costco Pharmacy #358
- Address
- 10921 Causeway Blvd, Brandon, FL 33511
- Phone
- (813) 952-0102
- Fax
- (813) 952-0109
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 Brandon, FL
- 4 Cardinals Health and Wellness, LLCCertificate of Waiver, Other10D2235405
- Adept Health & Wellness, LLCCertificate of Waiver, Physician office10D2271344
- Advanced Internal Medicine Care, PACertificate of Waiver, Physician office10D2262112
- Advanced Pain ManagementCertificate of Waiver, Physician office10D2114439
- Advanced Pain Management CenterCertificate of Waiver, Physician office10D2123699
- Adventhealth Medical GroupCertificate of Waiver, Physician office10D0870273
- Adventhealth Medical Group Family and InternalCertificate of Waiver, Physician office10D2302335
- Adventhealth Primary Care+ at Walgreens BrandonCertificate of Waiver, Other10D2131398
- Adventhealth Wound Care Center BrandonCertificate of Waiver, Other10D1074263
- After Hours Pediatrics IncCertificate of Waiver, Physician office10D0947236
Related
Questions
What is the CLIA number for Costco Pharmacy #358 in Brandon?
10D1103220, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Costco Pharmacy #358 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1103220 expire?
The CMS file lists August 4, 2027 as the certificate expiration date; the certificate took effect August 5, 2025.