CLIA lab

CLIA 10D2205933: Summerfield Suites

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

CLIA number 10D2205933 belongs to Summerfield Suites in Summerfield, FL.

Certificate of Waiver, effective December 16, 2024, expires December 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
December 16, 2024
Certificate expiration
December 15, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 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
10D2205933
Lab name
Summerfield Suites
Address
17421 SE 109th Terr Rd, Summerfield, FL 34491
Phone
(360) 920-9598
Fax
(727) 914-0410

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.

Other labs in Summerfield, FL

Related

Questions

What is the CLIA number for Summerfield Suites in Summerfield?

10D2205933, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Summerfield Suites hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2205933 expire?

The CMS file lists December 15, 2026 as the certificate expiration date; the certificate took effect December 16, 2024.

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