CLIA lab
CLIA 10D2123741: Ellenton Family Practice Direct
Ellenton, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2123741 belongs to Ellenton Family Practice Direct in Ellenton, FL.
Certificate of Waiver, effective December 30, 2024, expires December 29, 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
- December 30, 2024
- Certificate expiration
- December 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 30, 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
- 10D2123741
- Lab name
- Ellenton Family Practice Direct
- Address
- 907 25th Dr, E, Ellenton, FL 34222
- Phone
- (941) 417-7386
- Fax
- (941) 479-7572
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ellenton, FL
- Eye Associates of Manatee LLP, theCertificate of Waiver, Physician office10D2051741
- MaxhealthCertificate of Waiver, Physician office10D2092104
- Palmetto Dialysis Center LLCCertificate of Waiver, End stage renal disease dialysis facility10D2035106
- Primehealth Urgent Care, LLCCertificate of Waiver, Other10D2294493
- Walgreen CoCertificate of Waiver, Pharmacy10D2013249
Related
Questions
What is the CLIA number for Ellenton Family Practice Direct in Ellenton?
10D2123741, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ellenton Family Practice Direct hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2123741 expire?
The CMS file lists December 29, 2026 as the certificate expiration date; the certificate took effect December 30, 2024.