CLIA lab
CLIA 10D1103224: Costco Pharmacy #1023
Kendall, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D1103224 belongs to Costco Pharmacy #1023 in Kendall, 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
- 10D1103224
- Lab name
- Costco Pharmacy #1023
- Address
- 13450 SW 120th St, Kendall, FL 33186
- Phone
- (305) 964-4236
- Fax
- (305) 964-4233
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.
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Related
Questions
What is the CLIA number for Costco Pharmacy #1023 in Kendall?
10D1103224, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Costco Pharmacy #1023 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D1103224 expire?
The CMS file lists August 4, 2027 as the certificate expiration date; the certificate took effect August 5, 2025.