CLIA lab
CLIA 10D2065501: Black Sheep Medical
Ormond Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2065501 belongs to Black Sheep Medical in Ormond Beach, FL.
Certificate of Waiver, effective September 10, 2025, expires September 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
- September 10, 2025
- Certificate expiration
- September 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 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
- 10D2065501
- Lab name
- Black Sheep Medical
- Address
- 1425 Hand Ave Ste L, Ormond Beach, FL 32174
- Phone
- (386) 256-3977
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Dermatology & Cosmetic SurgeryCertificate of Accreditation, Physician office10D1029479
- Advanced Pain Management, IncCertificate of Waiver, Physician office10D2269981
- Advent Health HospiceCertificate of Waiver, Hospice10D0919072
- Adventhealth Employee Onboarding ClinicCertificate of Waiver, Other10D2331065
- Adventhealth Home HealthCertificate of Waiver, Home health agency10D0874019
- Adventhealth LabCertificate of Waiver, Other10D2009124
- Adventhealth Medical GroupCertificate of Waiver, Physician office10D1031690
Related
Questions
What is the CLIA number for Black Sheep Medical in Ormond Beach?
10D2065501, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Black Sheep Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2065501 expire?
The CMS file lists September 9, 2027 as the certificate expiration date; the certificate took effect September 10, 2025.