CLIA lab
CLIA 10D2136094: Conviva Medical Center Management LLC
Orange Park, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2136094 belongs to Conviva Medical Center Management LLC in Orange Park, FL.
Certificate of Waiver, effective September 1, 2025, expires August 31, 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
- September 1, 2025
- Certificate expiration
- August 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 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
- 10D2136094
- Lab name
- Conviva Medical Center Management LLC
- Additional name
- DBA Conviva Care Center
- Address
- 20 Blanding Blvd, Orange Park, FL 32073
- Phone
- (904) 773-8977
- Fax
- (904) 773-8974
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Afa Pain Specialists IncCertificate of Waiver, Physician office10D2094553
- Archwell Health Medical of Florida LLCCertificate of Waiver, Physician office10D2320961
- Ashchi Heart and Vascular CenterCertificate of Waiver, Physician office10D2123557
- Aviata at Orange ParkCertificate of Waiver, Skilled nursing or nursing facility10D0267192
- B-Leeve Primary Care IncCertificate of Waiver, Health fair10D2321856
- Baptist Medical Center ClayCertificate of Accreditation, Hospital10D2053343
- Baptist Primary CareCertificate of Accreditation, Physician office10D0267247
- Baptist Primary CareCertificate of Waiver, Physician office10D2108999
Related
Questions
What is the CLIA number for Conviva Medical Center Management LLC in Orange Park?
10D2136094, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Conviva Medical Center Management LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2136094 expire?
The CMS file lists August 31, 2027 as the certificate expiration date; the certificate took effect September 1, 2025.