CLIA lab

CLIA 10D2114817: Lake Ci

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

CLIA number 10D2114817 belongs to Lake Ci in Clermont, 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
10D2114817
Lab name
Lake Ci
Address
19225 US Hwy 27, Clermont, FL 34715
Phone
(352) 989-9277
Fax
(352) 394-2138

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 Clermont, FL

Related

Questions

What is the CLIA number for Lake Ci in Clermont?

10D2114817, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake Ci hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2114817 expire?

The CMS file lists June 20, 2028 as the certificate expiration date; the certificate took effect June 21, 2026.

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