CLIA lab

CLIA 10D2062442: Lewis and Klancke Cardiology PA

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

CLIA number 10D2062442 belongs to Lewis and Klancke Cardiology PA in Port Orange, FL.

Certificate of Waiver, effective July 17, 2025, expires July 16, 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
July 17, 2025
Certificate expiration
July 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 17, 2013
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

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

Lab and contact

CLIA number
10D2062442
Lab name
Lewis and Klancke Cardiology PA
Additional name
DBA Daytona Heart Group
Address
780 Dunlawton Ave Unit 101, Port Orange, FL 32127
Phone
(386) 258-8722
Fax
(386) 258-9443

Annual test volume the lab reported

Waived tests
500

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

Affiliated CLIA numbers

Other labs in Port Orange, FL

Related

Questions

What is the CLIA number for Lewis and Klancke Cardiology PA in Port Orange?

10D2062442, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lewis and Klancke Cardiology PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2062442 expire?

The CMS file lists July 16, 2027 as the certificate expiration date; the certificate took effect July 17, 2025.

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