CLIA lab
CLIA 10D2200289: 1490 Killingsworth Opco LLC
The Villages, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2200289 belongs to 1490 Killingsworth Opco LLC in The Villages, FL.
Certificate of Waiver, effective November 13, 2024, expires November 12, 2026.
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
- November 13, 2024
- Certificate expiration
- November 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 13, 2020
- 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
- 10D2200289
- Lab name
- 1490 Killingsworth Opco LLC
- Additional name
- DBA Sumter Senior Living
- Address
- 1550 Killingsworth Way, The Villages, FL 32162
- Phone
- (352) 674-3600
Annual test volume the lab reported
- Waived tests
- 5,475
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Dermatology and Cosmetic SurgeryCertificate of Accreditation, Physician office10D2282922
- Advanced Dermatology and Cosmetic SurgeryCertificate of Waiver, Physician office10D2346218
- Adventhealth Centra Care Southern TraceCertificate of Waiver, Other10D2334624
- Alliant Dermatology PACertificate of Compliance, Physician office10D2048182
- Alternative HealthCertificate of Waiver, Home health agency10D2315140
- Amedisys Florida, LLCCertificate of Waiver, Home health agency10D0688691
- Angel E Tafur MD PACertificate of Waiver, Physician office10D1064040
- Buffalo Crossing Healthcare & Rehabilitation CTRCertificate of Waiver, Skilled nursing or nursing facility10D2123988
Related
Questions
What is the CLIA number for 1490 Killingsworth Opco LLC in The Villages?
10D2200289, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 1490 Killingsworth Opco LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2200289 expire?
The CMS file lists November 12, 2026 as the certificate expiration date; the certificate took effect November 13, 2024.