CLIA lab
CLIA 10D2189504: Mulberry's Mobile Provider Services LLC
Hawthorne, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2189504 belongs to Mulberry's Mobile Provider Services LLC in Hawthorne, FL.
Certificate of Waiver, effective July 31, 2026, expires July 30, 2028.
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
- July 31, 2026
- Certificate expiration
- July 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 31, 2020
- 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
- 10D2189504
- Lab name
- Mulberry's Mobile Provider Services LLC
- Address
- 6435 SE US Hwy 301, Hawthorne, FL 32640
- Phone
- (352) 358-8070
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Mulberry's Mobile Provider Services LLC in Hawthorne?
10D2189504, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mulberry's Mobile Provider Services LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2189504 expire?
The CMS file lists July 30, 2028 as the certificate expiration date; the certificate took effect July 31, 2026.