CLIA lab
CLIA 10D2265049: Convivial Jacaranda Trace LLC
Venice, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2265049 belongs to Convivial Jacaranda Trace LLC in Venice, FL.
Certificate of Waiver, effective July 22, 2026, expires July 21, 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
- July 22, 2026
- Certificate expiration
- July 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 22, 2022
- Facility type
- Assisted living facility
- 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
- 10D2265049
- Lab name
- Convivial Jacaranda Trace LLC
- Address
- 3600 William Penn Way, Venice, FL 34293
- Phone
- (941) 408-2061
- Fax
- (941) 408-2067
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Allheart Healthcare, IncCertificate of Waiver, Home health agency10D2242204
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- Amedisys Florida, LLCCertificate of Waiver, Home health agency10D0925540
- Any Lab Test Now - VeniceCertificate of Waiver, Other10D2164028
- Aqua Dermatology of Florida PACertificate of Compliance, Physician office10D1002529
- Aqua Dermatology of Florida PACertificate of Compliance, Physician office10D1061199
Related
Questions
What is the CLIA number for Convivial Jacaranda Trace LLC in Venice?
10D2265049, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Convivial Jacaranda Trace LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2265049 expire?
The CMS file lists July 21, 2028 as the certificate expiration date; the certificate took effect July 22, 2026.