CLIA lab
CLIA 10D2064477: Pavilion for Healthcare, the
Penney Farms, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2064477 belongs to Pavilion for Healthcare, the in Penney Farms, FL.
Certificate of Waiver, effective August 20, 2025, expires August 19, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 20, 2025
- Certificate expiration
- August 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 20, 2013
- Facility type
- Skilled nursing or nursing facility
- 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
- 10D2064477
- Lab name
- Pavilion for Healthcare, the
- Address
- 3465 Caroline Blvd, Penney Farms, FL 32079
- Phone
- (904) 284-8582
- Fax
- (904) 284-6259
Annual test volume the lab reported
- Waived tests
- 468
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Pavilion for Health Care, theCMS Care Compare ratings for the facility at the same street address
Related
Questions
What is the CLIA number for Pavilion for Healthcare, the in Penney Farms?
10D2064477, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pavilion for Healthcare, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2064477 expire?
The CMS file lists August 19, 2027 as the certificate expiration date; the certificate took effect August 20, 2025.