CLIA lab

CLIA 10D2110822: Grand Villa of Palm Bay

Palm Bay, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2110822 belongs to Grand Villa of Palm Bay in Palm Bay, FL.

Certificate of Waiver, effective March 24, 2026, expires March 23, 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 24, 2026
Certificate expiration
March 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 24, 2016
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
10D2110822
Lab name
Grand Villa of Palm Bay
Address
3490 Gran Ave NE, Palm Bay, FL 32905
Phone
(321) 312-4555
Fax
(321) 312-4556

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 Palm Bay, FL

Related

Questions

What is the CLIA number for Grand Villa of Palm Bay in Palm Bay?

10D2110822, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grand Villa of Palm Bay hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2110822 expire?

The CMS file lists March 23, 2028 as the certificate expiration date; the certificate took effect March 24, 2026.

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