CLIA lab

CLIA 10D2270826: 904 Health Inc

Yulee, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2270826 belongs to 904 Health Inc in Yulee, FL.

Certificate of Waiver, effective October 21, 2024, expiration date October 20, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 21, 2024
Certificate expiration
October 20, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 21, 2022
Facility type
Community clinic
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2270826
Lab name
904 Health Inc
Address
96040 Lofton Square Ct, Yulee, FL 32097
Phone
(904) 659-2475
Fax
(904) 453-8600

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Yulee, FL

Related

Questions

What is the CLIA number for 904 Health Inc in Yulee?

10D2270826, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 904 Health Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2270826 expire?

The CMS file lists October 20, 2026 as the certificate expiration date; the certificate took effect October 21, 2024.

Try it on your own data today.

Free to start. Most teams are using it the same day.