CLIA lab

CLIA 10D2004282: Ponte Vedra Ambulatory Surgery Center

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

CLIA number 10D2004282 belongs to Ponte Vedra Ambulatory Surgery Center in Ponte Vedra Beach, FL.

Certificate of Waiver, effective March 2, 2026, expires March 1, 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
March 2, 2026
Certificate expiration
March 1, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 2, 2010
Facility type
Ambulatory surgery center
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
10D2004282
Lab name
Ponte Vedra Ambulatory Surgery Center
Additional name
Ponte Vedra Plastic Surgery
Address
209 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082
Phone
(907) 273-6200
Fax
(904) 273-6100

Annual test volume the lab reported

Waived tests
505

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Ponte Vedra Beach, FL

Related

Questions

What is the CLIA number for Ponte Vedra Ambulatory Surgery Center in Ponte Vedra Beach?

10D2004282, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ponte Vedra Ambulatory Surgery Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2004282 expire?

The CMS file lists March 1, 2028 as the certificate expiration date; the certificate took effect March 2, 2026.

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