CLIA lab

CLIA 10D2201041: Christallis Manor III

Pompano Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2201041 belongs to Christallis Manor III in Pompano Beach, FL.

Certificate of Waiver, effective November 18, 2024, expires November 17, 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 18, 2024
Certificate expiration
November 17, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 18, 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
10D2201041
Lab name
Christallis Manor III
Additional name
DBA Beachside Living LLC
Address
420 N Riverside Dr, Pompano Beach, FL 33062
Phone
(954) 788-8350
Fax
(954) 360-8373

Annual test volume the lab reported

Waived tests
200

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 Christallis Manor III in Pompano Beach?

10D2201041, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Christallis Manor III hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2201041 expire?

The CMS file lists November 17, 2026 as the certificate expiration date; the certificate took effect November 18, 2024.

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