CLIA lab

CLIA 10D2022067: South Lake Gastroenterology Inc

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

CLIA number 10D2022067 belongs to South Lake Gastroenterology Inc in Minneola, FL.

Certificate of Compliance, effective July 1, 2025, expires June 30, 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 Compliance
Certificate effective
July 1, 2025
Certificate expiration
June 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 25, 2011
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2022067
Lab name
South Lake Gastroenterology Inc
Address
201 Mohawk Rd Suite 100, Minneola, FL 34715
Phone
(352) 242-1665
Fax
(352) 708-8460

Annual test volume the lab reported

Other nonwaived tests
12,000

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

Affiliated CLIA numbers

Other labs in Minneola, FL

Related

Questions

What is the CLIA number for South Lake Gastroenterology Inc in Minneola?

10D2022067, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does South Lake Gastroenterology Inc hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 10D2022067 expire?

The CMS file lists June 30, 2027 as the certificate expiration date; the certificate took effect July 1, 2025.

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