CLIA lab
CLIA 10D2132120: Tides Edge Recovery Services, LLC
Jacksonville, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2132120 belongs to Tides Edge Recovery Services, LLC in Jacksonville, FL.
Certificate of Waiver, effective June 13, 2025, expires June 12, 2027.
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 13, 2025
- Certificate expiration
- June 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 13, 2017
- 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
- 10D2132120
- Lab name
- Tides Edge Recovery Services, LLC
- Address
- 1597 The Greens Way, Jacksonville, FL 32250
- Phone
- (904) 778-6161
- Fax
- (904) 212-1928
Annual test volume the lab reported
- Waived tests
- 5,000
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 Tides Edge Recovery Services, LLC in Jacksonville?
10D2132120, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tides Edge Recovery Services, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2132120 expire?
The CMS file lists June 12, 2027 as the certificate expiration date; the certificate took effect June 13, 2025.