CLIA lab
CLIA 10D2252773: Formoso Pain Specialists PA
Jacksonville Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2252773 belongs to Formoso Pain Specialists PA in Jacksonville Beach, FL.
Certificate of Waiver, effective February 15, 2026, expires February 14, 2028.
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 15, 2026
- Certificate expiration
- February 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 15, 2022
- 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
- 10D2252773
- Lab name
- Formoso Pain Specialists PA
- Address
- 1361 13th Avenue South Ste 170, Jacksonville Beach, FL 32250
- Phone
- (904) 650-2963
- Fax
- (904) 265-7754
Annual test volume the lab reported
- Waived tests
- 13,000
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 Formoso Pain Specialists PA in Jacksonville Beach?
10D2252773, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Formoso Pain Specialists PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2252773 expire?
The CMS file lists February 14, 2028 as the certificate expiration date; the certificate took effect February 15, 2026.