CLIA lab
CLIA 10D2112546: Grand Villa of Deland
Deland, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2112546 belongs to Grand Villa of Deland in Deland, FL.
Certificate of Waiver, effective May 3, 2026, expires May 2, 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
- May 3, 2026
- Certificate expiration
- May 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 3, 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
- 10D2112546
- Lab name
- Grand Villa of Deland
- Address
- 350 E International Speedway Blvd, Deland, FL 32724
- Phone
- (386) 738-5200
- Fax
- (386) 943-9091
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Dermatology and Cosmetic SurgeryCertificate of Waiver, Physician office10D2275469
- Adventhealth LabCertificate of Accreditation, Hospital10D0273364
- Adventhealth LabCertificate of Accreditation, Hospital10D0703277
- Adventhealth LabCertificate of Waiver, Hospital10D2010054
- Adventhealth Medical GroupCertificate of Waiver, Physician office10D0273378
- Adventhealth Medical GroupCertificate of Waiver, Physician office10D2308555
- Adventhealth Primary Care + DelandCertificate of Waiver, Other10D2323798
- Adventist Health Systems Sunbelt Inc DBACertificate of Waiver, Other10D2115292
- Ahmg GYN SurgeryCertificate of Waiver, Physician office10D2281093
Related
Questions
What is the CLIA number for Grand Villa of Deland in Deland?
10D2112546, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Villa of Deland hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2112546 expire?
The CMS file lists May 2, 2028 as the certificate expiration date; the certificate took effect May 3, 2026.