CLIA lab
CLIA 10D2057102: Keller & Goodman MD PA
Tavares, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2057102 belongs to Keller & Goodman MD PA in Tavares, FL.
Certificate of Compliance, effective June 28, 2025, expires June 27, 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
- June 28, 2025
- Certificate expiration
- June 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 9, 2013
- Facility type
- Physician office
- 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
- 10D2057102
- Lab name
- Keller & Goodman MD PA
- Address
- 1879 Nightingale Ln Ste C-2, Tavares, FL 32778
- Phone
- (352) 742-7776
- Fax
- (352) 742-7750
Annual test volume the lab reported
- Other nonwaived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Tavares, FL
- Advanced Dermatology & Cosmetic SurgeryCertificate of Accreditation, Physician office10D1078031
- Adventhealth Centra Care TavaresCertificate of Waiver, Other10D2326111
- Adventhealth LabCertificate of Accreditation, Hospital10D0273538
- Adventhealth LabCertificate of Accreditation, Hospital10D0721388
- Adventhealth LabCertificate of Waiver, Hospital10D0952868
- Adventhealth LabCertificate of Waiver, Ancillary test site10D1064851
- Adventhealth Medical Group CardiovascularCertificate of Waiver, Physician office10D0956572
- Adventhealth Medical Group Family & InternalCertificate of Waiver, Physician office10D0865210
- Adventhealth Medical Group OB GYN at WatermanCertificate of Waiver, Physician office10D2041974
- Adventhealth Medical Group Pediatrics atCertificate of Waiver, Physician office10D0983809
Related
Questions
What is the CLIA number for Keller & Goodman MD PA in Tavares?
10D2057102, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Keller & Goodman MD PA hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 10D2057102 expire?
The CMS file lists June 27, 2027 as the certificate expiration date; the certificate took effect June 28, 2025.