CLIA lab
CLIA 10D2104789: Adventhealth Centra Care Kids Lake Mary
Lake Mary, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2104789 belongs to Adventhealth Centra Care Kids Lake Mary in Lake Mary, FL.
Certificate of Waiver, effective November 1, 2025, expires October 31, 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
- November 1, 2025
- Certificate expiration
- October 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 12, 2015
- Facility type
- Other
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 8
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D2104789
- Lab name
- Adventhealth Centra Care Kids Lake Mary
- Address
- 105 S Country Club Rd, Lake Mary, FL 32746
- Phone
- (407) 200-2782
- Fax
- (407) 200-1365
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lake Mary, FL
- Advanced Woman Health Care Specialists LLCCertificate for Provider-Performed Microscopy Procedures, Physician office10D1020124
- Advantage Care Solutions IncCertificate of Waiver, Home health agency10D2119837
- Adventhealth Centra Care Lake MaryCertificate of Waiver, Other10D2145802
- Adventhealth Imaging Center Lake MaryCertificate of Waiver, Physician office10D2288059
- Adventhealth LabCertificate of Waiver, Hospital10D2109603
- Adventhealth LabCertificate of Accreditation, Hospital10D2109681
- Adventhealth Medical Group Cardiovascular CenterCertificate of Waiver, Physician office10D0955294
- Adventhealth Medical Group Family MedicineCertificate of Waiver, Physician office10D0929989
- Adventhealth Medical Group Family MedicineCertificate of Waiver, Physician office10D1061716
- Adventhealth Medical Group Health ParkCertificate of Waiver, Physician office10D1056812
Related
Questions
What is the CLIA number for Adventhealth Centra Care Kids Lake Mary in Lake Mary?
10D2104789, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventhealth Centra Care Kids Lake Mary hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2104789 expire?
The CMS file lists October 31, 2027 as the certificate expiration date; the certificate took effect November 1, 2025.