CLIA lab

CLIA 10D2054554: Camp Boggy Creek

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

CLIA number 10D2054554 belongs to Camp Boggy Creek in Eustis, FL.

Certificate of Waiver, effective February 25, 2025, expires February 24, 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
February 25, 2025
Certificate expiration
February 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 25, 2013
Facility type
Other
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
10D2054554
Lab name
Camp Boggy Creek
Address
30500 Brantley Branch Rd, Eustis, FL 32736
Phone
(352) 483-4200
Fax
(352) 483-2959

Annual test volume the lab reported

Waived tests
120

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

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Related

Questions

What is the CLIA number for Camp Boggy Creek in Eustis?

10D2054554, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Camp Boggy Creek hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2054554 expire?

The CMS file lists February 24, 2027 as the certificate expiration date; the certificate took effect February 25, 2025.

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