CLIA lab
CLIA 10D2214396: Gustavo F Ros MD PA
Fort Walton Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2214396 belongs to Gustavo F Ros MD PA in Fort Walton Beach, FL.
Certificate of Waiver, effective February 22, 2025, expires February 21, 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
- February 22, 2025
- Certificate expiration
- February 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 22, 2021
- Facility type
- Physician office
- 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
- 10D2214396
- Lab name
- Gustavo F Ros MD PA
- Address
- 914 Marwalt Dr Ste C, Fort Walton Beach, FL 32547
- Phone
- (850) 863-3199
- Fax
- (850) 863-3196
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.
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- Basil D Fossum MD PACertificate for Provider-Performed Microscopy Procedures, Physician office10D2284940
- Bay Port Assisted Living IncCertificate of Waiver, Assisted living facility10D2240027
- Belvedere Commons of Fort Walton BeachCertificate of Waiver, Other10D0979325
- Bio Medical Applications of FloridaCertificate of Waiver, End stage renal disease dialysis facility10D2140071
- Biomat USA IncCertificate of Accreditation, Other10D2129840
- Borland Groover Clinic, PACertificate of Waiver, Physician office10D2347719
- Bridgeway Center IncCertificate of Waiver, Other10D0271523
Related
Questions
What is the CLIA number for Gustavo F Ros MD PA in Fort Walton Beach?
10D2214396, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gustavo F Ros MD PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2214396 expire?
The CMS file lists February 21, 2027 as the certificate expiration date; the certificate took effect February 22, 2025.