CLIA lab

CLIA 10D2062454: Divaker Pediatrics LLC

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

CLIA number 10D2062454 belongs to Divaker Pediatrics LLC in Mount Dora, 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

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

Lab and contact

CLIA number
10D2062454
Lab name
Divaker Pediatrics LLC
Address
6551 N Orange Blossom Trl, Mount Dora, FL 32757
Phone
(407) 615-5005

Annual test volume the lab reported

Waived tests
600

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

Other labs in Mount Dora, FL

Related

Questions

What is the CLIA number for Divaker Pediatrics LLC in Mount Dora?

10D2062454, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Divaker Pediatrics LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2062454 expire?

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

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