CLIA lab

CLIA 10D2134693: Phpts of Ormond Beach LLC DBA

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

CLIA number 10D2134693 belongs to Phpts of Ormond Beach LLC DBA in Ormond Beach, FL.

Certificate of Waiver, effective August 8, 2025, expires August 7, 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
August 8, 2025
Certificate expiration
August 7, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 8, 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
10D2134693
Lab name
Phpts of Ormond Beach LLC DBA
Additional name
5palms of Ormond Beach
Address
1200 W Granada Blvd Ste 1, Ormond Beach, FL 32174
Phone
(844) 675-1022
Fax
(386) 227-5380

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.

Other labs in Ormond Beach, FL

Related

Questions

What is the CLIA number for Phpts of Ormond Beach LLC DBA in Ormond Beach?

10D2134693, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Phpts of Ormond Beach LLC DBA hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2134693 expire?

The CMS file lists August 7, 2027 as the certificate expiration date; the certificate took effect August 8, 2025.

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