CLIA lab

CLIA 10D2016851: Lake Wales Free Clinic Inc

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

CLIA number 10D2016851 belongs to Lake Wales Free Clinic Inc in Lake Wales, FL.

Certificate of Waiver, effective November 29, 2024, expires November 28, 2026.

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
November 29, 2024
Certificate expiration
November 28, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 29, 2010
Facility type
Community clinic
Ownership (control type)
Private
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
10D2016851
Lab name
Lake Wales Free Clinic Inc
Address
210 E Dr J A Wiltshire Ave, Lake Wales, FL 33853
Phone
(863) 678-0319
Fax
(863) 678-1987

Annual test volume the lab reported

Waived tests
1,200

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

Other labs in Lake Wales, FL

Related

Questions

What is the CLIA number for Lake Wales Free Clinic Inc in Lake Wales?

10D2016851, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake Wales Free Clinic Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2016851 expire?

The CMS file lists November 28, 2026 as the certificate expiration date; the certificate took effect November 29, 2024.

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