CLIA lab
CLIA 10D2114797: Polk Correctional Institution Polk Work Camp
Polk City, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2114797 belongs to Polk Correctional Institution Polk Work Camp in Polk City, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- 10D2114797
- Lab name
- Polk Correctional Institution Polk Work Camp
- Additional name
- Bartow Work Release
- Address
- 10800 Evans Rd, Polk City, FL 33868
- Phone
- (863) 984-5895
- Fax
- (863) 984-1021
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.
Related
Questions
What is the CLIA number for Polk Correctional Institution Polk Work Camp in Polk City?
10D2114797, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Polk Correctional Institution Polk Work Camp hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2114797 expire?
The CMS file lists June 20, 2028 as the certificate expiration date; the certificate took effect June 21, 2026.