CLIA lab
CLIA 10D2139110: Conviva Medical Center Management LLC
Venice, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2139110 belongs to Conviva Medical Center Management LLC in Venice, FL.
Certificate of Waiver, effective October 31, 2025, expires October 30, 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
- October 31, 2025
- Certificate expiration
- October 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 31, 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
- 10D2139110
- Lab name
- Conviva Medical Center Management LLC
- Additional name
- DBA Conviva Senior Primary Care
- Address
- 4125 S Tamiami Trail - Unit 2, Venice, FL 34293
- Phone
- (941) 584-9201
- Fax
- (941) 584-9202
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aqua Dermatology of Florida PACertificate of Compliance, Physician office10D1002529
- Aqua Dermatology of Florida PACertificate of Compliance, Physician office10D1061199
Related
Questions
What is the CLIA number for Conviva Medical Center Management LLC in Venice?
10D2139110, 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 10D2139110 expire?
The CMS file lists October 30, 2027 as the certificate expiration date; the certificate took effect October 31, 2025.