CLIA lab
CLIA 10D2221568: Mission House Clinic
Jacksonville Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2221568 belongs to Mission House Clinic in Jacksonville Beach, FL.
Certificate of Waiver, effective April 22, 2025, expires April 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
- April 22, 2025
- Certificate expiration
- April 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 22, 2021
- Facility type
- Community clinic
- Ownership (control type)
- Private
- 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
- 10D2221568
- Lab name
- Mission House Clinic
- Address
- 800 Shetter Ave, Jacksonville Beach, FL 32250
- Phone
- (904) 241-6767
- Fax
- (904) 241-7340
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.
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- Alice J Reed PACertificate of Waiver, Physician office10D0969365
- Ashford CourtCertificate of Waiver, Assisted living facility10D2105808
- Atlantic Eye Institute PACertificate of Waiver, Physician office10D2315612
- Avante Villa at Jacksonville Beach IncCertificate of Waiver, Skilled nursing or nursing facility10D0883769
- Baptist Cardiology IncCertificate of Waiver, Physician office10D0929973
- Baptist Medical Center-BeachesCertificate of Accreditation, Hospital10D0645124
- Baptist Primary CareCertificate of Waiver, Physician office10D1017632
- Baptist Primary CareCertificate of Waiver, Physician office10D2030931
- Baptist Primary Care IncCertificate of Waiver, Physician office10D0726357
Related
Questions
What is the CLIA number for Mission House Clinic in Jacksonville Beach?
10D2221568, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mission House Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2221568 expire?
The CMS file lists April 21, 2027 as the certificate expiration date; the certificate took effect April 22, 2025.