CLIA lab

CLIA 10D2004112: Palm Beach General Surgeon

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

CLIA number 10D2004112 belongs to Palm Beach General Surgeon in Atlantis, FL.

Certificate of Waiver, effective February 25, 2026, expires February 24, 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
February 25, 2026
Certificate expiration
February 24, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 25, 2010
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
10D2004112
Lab name
Palm Beach General Surgeon
Additional name
The Center for Advanced Surgical Care
Address
5503 S Congress Avenue Suite 206, Atlantis, FL 33462
Phone
(561) 964-1632
Fax
(561) 964-1636

Annual test volume the lab reported

Waived tests
50

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 Palm Beach General Surgeon in Atlantis?

10D2004112, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Palm Beach General Surgeon hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2004112 expire?

The CMS file lists February 24, 2028 as the certificate expiration date; the certificate took effect February 25, 2026.

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