CLIA lab
CLIA 10D2067792: East Lake Medical Clinic PLLC
Saint Cloud, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2067792 belongs to East Lake Medical Clinic PLLC in Saint Cloud, FL.
Certificate of Waiver, effective October 23, 2025, expires October 22, 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
- October 23, 2025
- Certificate expiration
- October 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 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
- 10D2067792
- Lab name
- East Lake Medical Clinic PLLC
- Address
- 4737 Old Canoe Creek Rd, Saint Cloud, FL 34769
- Phone
- (407) 705-3222
- Fax
- (407) 705-3206
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Saint Cloud, FL
- Advanced Dermatology and Cosmetic SurgeryCertificate of Accreditation, Physician office10D2125517
- Adventhealth Centra Care ST CloudCertificate of Waiver, Other10D2108667
- All Florida Family and Sports MedicineCertificate of Waiver, Physician office10D1096557
- Aqua Dermatology of Florida PACertificate of Waiver, Physician office10D2178292
- Associates in Dermatology IncCertificate of Compliance, Physician office10D1056686
- Avante at ST Cloud, IncCertificate of Waiver, Skilled nursing or nursing facility10D0718456
- Aviata at ST CloudCertificate of Waiver, Skilled nursing or nursing facility10D0899087
- Beyond Pregnancy Care IncCertificate of Waiver, Other10D2319279
- Blackberry Center, theCertificate of Waiver, Other10D2141885
- CKM Health and Wellness LLCCertificate of Waiver, Other practitioner10D2332773
Related
Questions
What is the CLIA number for East Lake Medical Clinic PLLC in Saint Cloud?
10D2067792, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does East Lake Medical Clinic PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2067792 expire?
The CMS file lists October 22, 2027 as the certificate expiration date; the certificate took effect October 23, 2025.