CLIA lab

CLIA 10D2119014: Healthstat Onsite Clinic

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

CLIA number 10D2119014 belongs to Healthstat Onsite Clinic in Bartow, FL.

Certificate of Waiver, effective September 19, 2026, expires September 18, 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
September 19, 2026
Certificate expiration
September 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 19, 2016
Facility type
Other
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
10D2119014
Lab name
Healthstat Onsite Clinic
Additional name
Polk County Government
Address
2010 E Georgia St Ste Hs, Bartow, FL 33830
Phone
(704) 936-5546
Fax
(704) 529-6572

Annual test volume the lab reported

Waived tests
150

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 Healthstat Onsite Clinic in Bartow?

10D2119014, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Healthstat Onsite Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2119014 expire?

The CMS file lists September 18, 2028 as the certificate expiration date; the certificate took effect September 19, 2026.

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