CLIA lab

CLIA 10D2121624: Okaloosa Cardiology PA

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

CLIA number 10D2121624 belongs to Okaloosa Cardiology PA in Defuniak Springs, FL.

Certificate of Waiver, effective November 9, 2024, expires November 8, 2026.

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
November 9, 2024
Certificate expiration
November 8, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 9, 2016
Facility type
Physician office
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
10D2121624
Lab name
Okaloosa Cardiology PA
Additional name
Okaloosa Heart and Vascular Center
Address
1045 US Hwy 331 S, Defuniak Springs, FL 32435
Phone
(850) 682-7212
Fax
(850) 682-6302

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 Defuniak Springs, FL

Related

Questions

What is the CLIA number for Okaloosa Cardiology PA in Defuniak Springs?

10D2121624, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Okaloosa Cardiology PA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2121624 expire?

The CMS file lists November 8, 2026 as the certificate expiration date; the certificate took effect November 9, 2024.

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