CLIA lab

CLIA 10D2055116: Lake Medical Imaging and Breast Center

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

CLIA number 10D2055116 belongs to Lake Medical Imaging and Breast Center in The Villages, FL.

Certificate of Waiver, effective March 6, 2025, expires March 5, 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 6, 2025
Certificate expiration
March 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 6, 2013
Facility type
Other
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
10D2055116
Lab name
Lake Medical Imaging and Breast Center
Additional name
At the Villages
Address
1400 US Hwy 441 N Ste 510, The Villages, FL 32159
Phone
(352) 435-6864
Fax
(352) 728-6749

Annual test volume the lab reported

Waived tests
4,250

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

Affiliated CLIA numbers

Other labs in The Villages, FL

Related

Questions

What is the CLIA number for Lake Medical Imaging and Breast Center in The Villages?

10D2055116, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake Medical Imaging and Breast Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2055116 expire?

The CMS file lists March 5, 2027 as the certificate expiration date; the certificate took effect March 6, 2025.

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