CLIA lab
CLIA 10D2200455: PCP Lady Lake Opco LLC
Lady Lake, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2200455 belongs to PCP Lady Lake Opco LLC in Lady Lake, FL.
Certificate of Waiver, effective November 16, 2024, expires November 15, 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 16, 2024
- Certificate expiration
- November 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 16, 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
- 10D2200455
- Lab name
- PCP Lady Lake Opco LLC
- Address
- 955 Hwy 27/441, Lady Lake, FL 32159
- Phone
- (352) 268-3523
- Fax
- (352) 775-6745
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Surgical and Medical Eye Center PACertificate of Waiver, Other practitioner10D2109607
- Adventhealth Medical Group Multispecialty at theCertificate of Waiver, Physician office10D2094984
- Aqua Dermatology of Florida, PA DBA WatersCertificate of Compliance, Physician office10D2141726
- Cardiac and Vascular Consultants IncCertificate of Waiver, Physician office10D2025484
- Cardiothoracic & Vascular Surgical Associates, PACertificate of Waiver, Physician office10D2107210
- Care Access Research LLCCertificate of Waiver, Other10D2259894
- Centerwell Senior Primary Care (FL) IncCertificate of Waiver, Physician office10D1035796
- Central Florida Medical CareCertificate of Waiver, Physician office10D1043786
- Central Florida Pain ManagementCertificate of Waiver, Physician office10D2003673
Related
Questions
What is the CLIA number for PCP Lady Lake Opco LLC in Lady Lake?
10D2200455, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PCP Lady Lake Opco LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2200455 expire?
The CMS file lists November 15, 2026 as the certificate expiration date; the certificate took effect November 16, 2024.