CLIA lab
CLIA 10D2221489: Coastal Injury Clinic LLC
Middleburg, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2221489 belongs to Coastal Injury Clinic LLC in Middleburg, FL.
Certificate of Waiver, effective April 21, 2025, expires April 20, 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
- April 21, 2025
- Certificate expiration
- April 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 21, 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
- 10D2221489
- Lab name
- Coastal Injury Clinic LLC
- Address
- 1811 Blanding Blvd, Suite 102, Middleburg, FL 32068
- Phone
- (904) 559-6638
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ashchi Heart and Vascular CenterCertificate of Waiver, Physician office10D2123622
- Cancer Specialists LLCCertificate of Accreditation, Physician office10D1082129
- Canterfield of Clay CountyCertificate of Waiver, Assisted living facility10D2131691
- Carespot Express HealthcareCertificate of Waiver, Other10D2073231
- Clay County DialysisCertificate of Waiver, End stage renal disease dialysis facility10D2082305
- Conviva Medical Center Management LLCCertificate of Waiver, Physician office10D2058671
- DR Hyler OB GYN and AssociatesCertificate of Waiver, Physician office10D2088110
Related
Questions
What is the CLIA number for Coastal Injury Clinic LLC in Middleburg?
10D2221489, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coastal Injury Clinic LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2221489 expire?
The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.