CLIA lab
CLIA 10D2222886: Tri County Health, LLC
Summerfield, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2222886 belongs to Tri County Health, LLC in Summerfield, FL.
Certificate of Waiver, effective May 3, 2025, expires May 2, 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
- May 3, 2025
- Certificate expiration
- May 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 3, 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
- 10D2222886
- Lab name
- Tri County Health, LLC
- Address
- 17190 SE 109th Terrance Rd, Summerfield, FL 34491
- Phone
- (352) 268-0003
- Fax
- (352) 399-2338
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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- Delcare PACertificate of Accreditation, Physician office10D2013403
- Executive Diagnostics LLCCertificate of Waiver, Mobile lab10D2347379
- Florida Medical Associates LLC DBA Vip CareCertificate of Waiver, Physician office10D2295959
- Gastroenterology AssociatesCertificate of Waiver, Physician office10D1022153
- HC Summerfield FL, LLCCertificate of Waiver, Assisted living facility10D2230932
- HCA Florida Summerfield Emergency A Part of HCACertificate of Accreditation, Other practitioner10D2117324
- Holiday CVS LLC DBA Cvs/Pharmacy #5226Certificate of Waiver, Pharmacy10D2221949
Related
Questions
What is the CLIA number for Tri County Health, LLC in Summerfield?
10D2222886, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri County Health, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2222886 expire?
The CMS file lists May 2, 2027 as the certificate expiration date; the certificate took effect May 3, 2025.