CLIA lab
CLIA 10D2175862: White-Wilson Medical Center PA
Crestview, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2175862 belongs to White-Wilson Medical Center PA in Crestview, FL.
Certificate of Waiver, effective December 3, 2025, expires December 2, 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
- December 3, 2025
- Certificate expiration
- December 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 2019
- Facility type
- Community clinic
- 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
- 10D2175862
- Lab name
- White-Wilson Medical Center PA
- Address
- 1332 N Ferdon Blvd, Crestview, FL 32536
- Phone
- (850) 863-8284
- Fax
- (850) 862-5989
Annual test volume the lab reported
- Waived tests
- 2,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Barnes Healthcare of Florida LLCCertificate of Waiver, Other10D2200967
- Belfiore Wellness CenterCertificate of Waiver, Other practitioner10D2219903
- Childrens ClinicCertificate of Waiver, Physician office10D0897641
- Christopher MD and Associates PACertificate of Waiver, Physician office10D1049356
- Clearway Surgery Center of Crestview LLCCertificate of Waiver, Ambulatory surgery center10D2226614
- Crestview Rehabilitation Center LLCCertificate of Waiver, Skilled nursing or nursing facility10D0701822
Related
Questions
What is the CLIA number for White-Wilson Medical Center PA in Crestview?
10D2175862, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does White-Wilson Medical Center PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2175862 expire?
The CMS file lists December 2, 2027 as the certificate expiration date; the certificate took effect December 3, 2025.