CLIA lab
CLIA 10D2021929: Premise Health of Florida Medical, PA
Mount Dora, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2021929 belongs to Premise Health of Florida Medical, PA in Mount Dora, FL.
Certificate of Waiver, effective March 23, 2025, expires March 22, 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
- March 23, 2025
- Certificate expiration
- March 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 23, 2011
- 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
- 10D2021929
- Lab name
- Premise Health of Florida Medical, PA
- Address
- 2110 N Donnelly St, Ste 200, Mount Dora, FL 32757
- Phone
- (352) 663-9155
- Fax
- (615) 656-4425
Annual test volume the lab reported
- Waived tests
- 135
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mount Dora, FL
- Adult Medicine of Lake CountyCertificate of Waiver, Physician office10D2273104
- Adult Medicine of Lake County IncCertificate of Waiver, Physician office10D0273811
- Adventhealth Centra Care Mount DoraCertificate of Waiver, Other10D2016069
- Adventhealth Medical GroupCertificate of Waiver, Physician office10D2327179
- Adventhealth Medical Group Family Medicine atCertificate of Waiver, Physician office10D1012991
- Adventhealth Medical Group Pediatrics atCertificate of Waiver, Physician office10D1079647
- Aegis Medical Group LLCCertificate of Waiver, Physician office10D0935132
- Aegis Medical Group,llcCertificate of Waiver, Physician office10D0689507
- Alina Community Center at Mount Dora LLCCertificate of Waiver, Physician office10D2181840
- Angels Home Health of FloridaCertificate of Waiver, Home health agency10D2331792
Related
Questions
What is the CLIA number for Premise Health of Florida Medical, PA in Mount Dora?
10D2021929, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Florida Medical, PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2021929 expire?
The CMS file lists March 22, 2027 as the certificate expiration date; the certificate took effect March 23, 2025.