CLIA lab

CLIA 10D2114491: Brain and Spine Institute of Port Orange

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

CLIA number 10D2114491 belongs to Brain and Spine Institute of Port Orange in Port Orange, FL.

Certificate of Waiver, effective June 15, 2026, expires June 14, 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
June 15, 2026
Certificate expiration
June 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 15, 2016
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
10D2114491
Lab name
Brain and Spine Institute of Port Orange
Address
1211 Dunlawton Ave Ste 100, Port Orange, FL 32127
Phone
(386) 304-0111
Fax
(386) 304-1099

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.

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Related

Questions

What is the CLIA number for Brain and Spine Institute of Port Orange in Port Orange?

10D2114491, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brain and Spine Institute of Port Orange hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2114491 expire?

The CMS file lists June 14, 2028 as the certificate expiration date; the certificate took effect June 15, 2026.

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