CLIA lab
CLIA 10D2260456: Dynamic Primary Healthcare Clinic Inc
Lake City, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2260456 belongs to Dynamic Primary Healthcare Clinic Inc in Lake City, FL.
Certificate of Waiver, effective May 19, 2026, expires May 18, 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
- May 19, 2026
- Certificate expiration
- May 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 19, 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
- 10D2260456
- Lab name
- Dynamic Primary Healthcare Clinic Inc
- Address
- 163 Stonegate Terrace Suite 109, Lake City, FL 32024
- Phone
- (386) 438-8391
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ankem Ravindra MD PACertificate of Compliance, Physician office10D2308713
- Baya Clinical Services LLCCertificate of Waiver, Ancillary test site10D2270661
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- Baya Pharmacy EastCertificate of Waiver, Pharmacy10D2184234
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Related
Questions
What is the CLIA number for Dynamic Primary Healthcare Clinic Inc in Lake City?
10D2260456, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dynamic Primary Healthcare Clinic Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2260456 expire?
The CMS file lists May 18, 2028 as the certificate expiration date; the certificate took effect May 19, 2026.