CLIA lab

CLIA 10D2105767: Brookdale Fort Walton Beach

Fort Walton Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2105767 belongs to Brookdale Fort Walton Beach in Fort Walton Beach, FL.

Certificate of Waiver, effective December 3, 2025, expires December 2, 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 Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 3, 2025
Certificate expiration
December 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 3, 2015
Facility type
Assisted living 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
10D2105767
Lab name
Brookdale Fort Walton Beach
Address
233 Carmel Dr, Fort Walton Beach, FL 32547
Phone
(850) 864-4600
Fax
(850) 864-4618

Annual test volume the lab reported

Waived tests
50

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Fort Walton Beach, FL

Related

Questions

What is the CLIA number for Brookdale Fort Walton Beach in Fort Walton Beach?

10D2105767, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brookdale Fort Walton Beach hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2105767 expire?

The CMS file lists December 2, 2027 as the certificate expiration date; the certificate took effect December 3, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.