CLIA lab
CLIA 10D2202635: Magnolia Manor Assisted Living Inc
Lutz, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2202635 belongs to Magnolia Manor Assisted Living Inc in Lutz, FL.
Certificate of Waiver, effective November 30, 2024, expires November 29, 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 30, 2024
- Certificate expiration
- November 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 30, 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
- 10D2202635
- Lab name
- Magnolia Manor Assisted Living Inc
- Address
- 17420 Old Tobacco Rd, Lutz, FL 33558
- Phone
- (813) 918-0588
- Fax
- (813) 264-1710
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lutz, FL
- Access Health Care Physicians, LLCCertificate of Waiver, Physician office10D2233116
- Active Health Medical Center, LLCCertificate of Waiver, Mobile lab10D2283510
- Adventhealth LabCertificate of Accreditation, Hospital10D2139760
- Adventhealth Medical Group MultispecialtyCertificate of Waiver, Physician office10D2109912
- All Care Urgent CareCertificate of Waiver, Physician office10D2150472
- All Pediatric Care PACertificate of Waiver, Physician office10D2150476
- All Well Pediatrics Group, PACertificate of Waiver, Physician office10D1021160
- Allday Home Health CorpCertificate of Waiver, Home health agency10D2087163
- Altavida Obstetrics and Gynecology LLCCertificate of Waiver, Physician office10D2295882
- Angel's Professional Care IncCertificate of Waiver, Home health agency10D2274558
Related
Questions
What is the CLIA number for Magnolia Manor Assisted Living Inc in Lutz?
10D2202635, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Magnolia Manor Assisted Living Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2202635 expire?
The CMS file lists November 29, 2026 as the certificate expiration date; the certificate took effect November 30, 2024.