CLIA lab

CLIA 10D2296197: Blackwater Health LLC

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

CLIA number 10D2296197 belongs to Blackwater Health LLC in Milton, FL.

Certificate of Waiver, effective December 22, 2025, expires December 21, 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
December 22, 2025
Certificate expiration
December 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 22, 2023
Facility type
Other practitioner
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
10D2296197
Lab name
Blackwater Health LLC
Address
5211 Dogwood Drive, Milton, FL 32570
Phone
(601) 549-8444
Fax
(850) 845-7191

Annual test volume the lab reported

Waived tests
300

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

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Related

Questions

What is the CLIA number for Blackwater Health LLC in Milton?

10D2296197, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Blackwater Health LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2296197 expire?

The CMS file lists December 21, 2027 as the certificate expiration date; the certificate took effect December 22, 2025.

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