CLIA lab
CLIA 10D2058671: Conviva Medical Center Management LLC
Middleburg, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2058671 belongs to Conviva Medical Center Management LLC in Middleburg, FL.
Certificate of Waiver, effective May 10, 2025, expires May 9, 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
- May 10, 2025
- Certificate expiration
- May 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 10, 2013
- Facility type
- Physician office
- 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
- 10D2058671
- Lab name
- Conviva Medical Center Management LLC
- Additional name
- DBA Conviva Senior Primary Care
- Address
- 1586 Branan Feild Road, Middleburg, FL 32068
- Phone
- (904) 282-8000
- Fax
- (904) 282-8044
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Canterfield of Clay CountyCertificate of Waiver, Assisted living facility10D2131691
- Carespot Express HealthcareCertificate of Waiver, Other10D2073231
- Clay County DialysisCertificate of Waiver, End stage renal disease dialysis facility10D2082305
- Coastal Injury Clinic LLCCertificate of Waiver, Physician office10D2221489
- DR Hyler OB GYN and AssociatesCertificate of Waiver, Physician office10D2088110
Related
Questions
What is the CLIA number for Conviva Medical Center Management LLC in Middleburg?
10D2058671, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Conviva Medical Center Management LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2058671 expire?
The CMS file lists May 9, 2027 as the certificate expiration date; the certificate took effect May 10, 2025.