CLIA lab
CLIA 10D2048190: Emerald Waters Medical Clinic LLC
Niceville, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2048190 belongs to Emerald Waters Medical Clinic LLC in Niceville, FL.
Certificate of Waiver, effective October 11, 2024, expiration date October 10, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 11, 2024
- Certificate expiration
- October 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 11, 2012
- Facility type
- Other practitioner
- 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
- 10D2048190
- Lab name
- Emerald Waters Medical Clinic LLC
- Address
- 1005 College Blvd W Ste B, Niceville, FL 32578
- Phone
- (850) 279-6815
- Fax
- (850) 279-6817
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bio Medical Applications of FL IncCertificate of Waiver, End stage renal disease dialysis facility10D2082303
- Bluewater Radiology, PLLCCertificate of Waiver, Other10D1052527
- Brookdale Bluewater BayCertificate of Waiver, Assisted living facility10D0945866
- Cardiothoracic & Vascular Surgical Associates, PACertificate of Waiver, Physician office10D2066133
- Coastal Anesthesia PACertificate of Waiver, Physician office10D2074917
- Coastal Dermatology LaboratoryCertificate of Compliance, Physician office10D2106853
Related
Questions
What is the CLIA number for Emerald Waters Medical Clinic LLC in Niceville?
10D2048190, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Emerald Waters Medical Clinic LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2048190 expire?
The CMS file lists October 10, 2026 as the certificate expiration date; the certificate took effect October 11, 2024.