CLIA lab

CLIA 10D2289104: 121 Medical Center LLC

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

CLIA number 10D2289104 belongs to 121 Medical Center LLC in Oakland Park, FL.

Certificate of Waiver, effective September 6, 2025, expires September 5, 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 6, 2025
Certificate expiration
September 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 6, 2023
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
10D2289104
Lab name
121 Medical Center LLC
Address
3333 W Commercial Blvd, Ste 110, Oakland Park, FL 33309
Phone
(561) 793-1475
Fax
(561) 793-1478

Annual test volume the lab reported

Waived tests
1,500

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

Other labs in Oakland Park, FL

Related

Questions

What is the CLIA number for 121 Medical Center LLC in Oakland Park?

10D2289104, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 121 Medical Center LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2289104 expire?

The CMS file lists September 5, 2027 as the certificate expiration date; the certificate took effect September 6, 2025.

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