CLIA lab
CLIA 10D2202971: Lake Port Square Inn
Leesburg, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2202971 belongs to Lake Port Square Inn in Leesburg, FL.
Certificate of Waiver, effective December 2, 2024, expires December 1, 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
- December 2, 2024
- Certificate expiration
- December 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 2, 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
- 10D2202971
- Lab name
- Lake Port Square Inn
- Address
- 701 Lake Port Blvd, Leesburg, FL 34748
- Phone
- (352) 728-3366
- Fax
- (352) 728-5179
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.
Other labs in Leesburg, FL
- Advanced Gastroenterology and Surgery AssociatesCertificate of Waiver, Physician office10D0939143
- Advanced Urology InstituteCertificate of Waiver, Physician office10D0298960
- Adventhealth Centra Care LeesburgCertificate of Waiver, Other10D2092650
- Adventhealth Home HealthCertificate of Waiver, Home health agency10D2164368
- Adventhealth Medical GroupCertificate of Waiver, Physician office10D2274050
- Adventhealth Medical Group CardiovascularCertificate of Waiver, Physician office10D2305318
- Adventhealth Medical Group OB GYN at LeesburgCertificate of Waiver, Physician office10D2298556
- Aegis Medical GroupCertificate of Waiver, Physician office10D2164231
- Aegis Medical Group, LLCCertificate of Waiver, Physician office10D1090962
- Alex M Uson MD PACertificate of Waiver, Physician office10D0974495
Related
Questions
What is the CLIA number for Lake Port Square Inn in Leesburg?
10D2202971, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Port Square Inn hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2202971 expire?
The CMS file lists December 1, 2026 as the certificate expiration date; the certificate took effect December 2, 2024.