CLIA lab
CLIA 10D2114779: Suwannee Ci Suwannee Annex Suwannee Work Camp
Live Oak, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2114779 belongs to Suwannee Ci Suwannee Annex Suwannee Work Camp in Live Oak, 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)
- 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
- 10D2114779
- Lab name
- Suwannee Ci Suwannee Annex Suwannee Work Camp
- Address
- 5964 US Hwy 90, Live Oak, FL 32060
- Phone
- (386) 963-6726
- Fax
- (386) 963-6220
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 Live Oak, FL
- Acv Community Services, LLCCertificate of Waiver, Assisted living facility10D2329569
- Advent Christian Village Community Serv LLCCertificate of Waiver, Other10D0939246
- Ascension Internal Medicine of Florida, LLCCertificate of Waiver, Physician office10D2188219
- Bedrock Rehabilitation & Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility10D0645059
- Bma of Live OakCertificate of Waiver, End stage renal disease dialysis facility10D0872886
- Cheek and Scott Drugs IncCertificate of Waiver, Pharmacy10D2100785
- Childrens Medical CenterCertificate of Waiver, Physician office10D0695532
- Cornerstone Care Clinic LLCCertificate of Waiver, Physician office10D2295633
- Florida Department of Health in Suwannee CountyCertificate for Provider-Performed Microscopy Procedures, Public health laboratory10D0674991
- Go Medical CenterCertificate of Waiver, Other practitioner10D2321168
Related
Questions
What is the CLIA number for Suwannee Ci Suwannee Annex Suwannee Work Camp in Live Oak?
10D2114779, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Suwannee Ci Suwannee Annex Suwannee Work Camp hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2114779 expire?
The CMS file lists June 20, 2028 as the certificate expiration date; the certificate took effect June 21, 2026.