CLIA lab

CLIA 10D2209541: Club at Lake Gibson LLC, the

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

CLIA number 10D2209541 belongs to Club at Lake Gibson LLC, the in Lakeland, FL.

Certificate of Waiver, effective January 14, 2025, expires January 13, 2027.

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
January 14, 2025
Certificate expiration
January 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 14, 2021
Facility type
Skilled nursing or nursing 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
10D2209541
Lab name
Club at Lake Gibson LLC, the
Additional name
DBA the Club at Lake Gibson
Address
855 Carpenters Way, Lakeland, FL 33809
Phone
(863) 213-3335
Fax
(863) 213-3336

Annual test volume the lab reported

Waived tests
18,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Lakeland, FL

Related

Questions

What is the CLIA number for Club at Lake Gibson LLC, the in Lakeland?

10D2209541, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Club at Lake Gibson LLC, the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2209541 expire?

The CMS file lists January 13, 2027 as the certificate expiration date; the certificate took effect January 14, 2025.

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