CLIA lab
CLIA 10D2074917: Coastal Anesthesia PA
Niceville, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2074917 belongs to Coastal Anesthesia PA in Niceville, FL.
Certificate of Waiver, effective March 18, 2026, expires March 17, 2028.
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
- March 18, 2026
- Certificate expiration
- March 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 2014
- 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
- 10D2074917
- Lab name
- Coastal Anesthesia PA
- Additional name
- Pain Mgmt Clinic
- Address
- 1001 W College Blvd Ste H Bldg 2, Niceville, FL 32578
- Phone
- (850) 279-4417
- Fax
- (850) 279-6546
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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- Cardiothoracic & Vascular Surgical Associates, PACertificate of Waiver, Physician office10D2066133
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Related
Questions
What is the CLIA number for Coastal Anesthesia PA in Niceville?
10D2074917, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coastal Anesthesia PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2074917 expire?
The CMS file lists March 17, 2028 as the certificate expiration date; the certificate took effect March 18, 2026.