CLIA lab
CLIA 10D2172429: PR Amelia Island Opco LLC
Fernandina Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2172429 belongs to PR Amelia Island Opco LLC in Fernandina Beach, FL.
Certificate of Waiver, effective September 24, 2025, expires September 23, 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 24, 2025
- Certificate expiration
- September 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 2019
- Facility type
- Assisted living facility
- 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
- 10D2172429
- Lab name
- PR Amelia Island Opco LLC
- Additional name
- DBA Lakeside at Amelia Island
- Address
- 649 Amelia Island Pkwy, Fernandina Beach, FL 32034
- Phone
- (904) 637-1559
- Fax
- (904) 310-9605
Annual test volume the lab reported
- Waived tests
- 1,440
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fernandina Beach, FL
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- Amelia Express Care LLCCertificate of Waiver, Community clinic10D2090144
- Amelia Island Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center10D2149195
- Amelia Urgent CareCertificate of Waiver, Physician office10D1060855
- Aqua Dermatology of Florida PA DBACertificate of Compliance, Physician office10D2265682
- Baptist Agewell Physicians IncCertificate of Waiver, Physician office10D2322668
- Baptist Heart SpecialistsCertificate of Waiver, Physician office10D2057082
- Baptist Med Center-NassauCertificate of Accreditation, Hospital10D0266896
- Baptist Obstetrics and Gynecology IncCertificate for Provider-Performed Microscopy Procedures, Physician office10D2274239
- Baptist Primary Care IncCertificate of Waiver, Physician office10D0266869
Related
Questions
What is the CLIA number for PR Amelia Island Opco LLC in Fernandina Beach?
10D2172429, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PR Amelia Island Opco LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2172429 expire?
The CMS file lists September 23, 2027 as the certificate expiration date; the certificate took effect September 24, 2025.