CLIA lab
CLIA 10D2235517: David C Terrell Aprn PA
Lake City, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2235517 belongs to David C Terrell Aprn PA in Lake City, FL.
Certificate of Waiver, effective September 9, 2025, expires September 8, 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
- September 9, 2025
- Certificate expiration
- September 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 9, 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
- 10D2235517
- Lab name
- David C Terrell Aprn PA
- Address
- 4289 NW American Lane, Lake City, FL 32055
- Phone
- (386) 287-2111
- Fax
- (386) 406-8368
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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- Allergy and Urgent CareCertificate of Waiver, Physician office10D2087610
- Ankem Ravindra MD PACertificate of Compliance, Physician office10D2308713
- Baya Clinical Services LLCCertificate of Waiver, Ancillary test site10D2270661
- Baya Clinical Services LLCCertificate of Waiver, Pharmacy10D2280677
- Baya Pharmacy EastCertificate of Waiver, Pharmacy10D2184234
- Baya Pharmacy WestCertificate of Waiver, Pharmacy10D2183704
Related
Questions
What is the CLIA number for David C Terrell Aprn PA in Lake City?
10D2235517, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does David C Terrell Aprn PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2235517 expire?
The CMS file lists September 8, 2027 as the certificate expiration date; the certificate took effect September 9, 2025.