CLIA lab
CLIA 10D2114764: Florida State Prison and FSP West
Raiford, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2114764 belongs to Florida State Prison and FSP West in Raiford, FL.
Certificate of Waiver, effective June 21, 2026, expires June 20, 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 21, 2026
- Certificate expiration
- June 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 21, 2016
- Facility type
- Prison
- Ownership (control type)
- Government, state
- 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
- 10D2114764
- Lab name
- Florida State Prison and FSP West
- Address
- 23916 NW 83rd Ave, Raiford, FL 32083
- Phone
- (904) 368-8776
- Fax
- (904) 368-2730
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.
Other labs in Raiford, FL
Related
Questions
What is the CLIA number for Florida State Prison and FSP West in Raiford?
10D2114764, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Florida State Prison and FSP West hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2114764 expire?
The CMS file lists June 20, 2028 as the certificate expiration date; the certificate took effect June 21, 2026.