CLIA lab

CLIA 10D2305477: North Okaloosa Physician Group Primary Care

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

CLIA number 10D2305477 belongs to North Okaloosa Physician Group Primary Care in Crestview, FL.

Certificate of Waiver, effective May 31, 2026, expires May 30, 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 31, 2026
Certificate expiration
May 30, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 31, 2024
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
10D2305477
Lab name
North Okaloosa Physician Group Primary Care
Address
131 E Redstone Ave Suite 105, Crestview, FL 32539
Phone
(850) 306-2750
Fax
(850) 306-2751

Annual test volume the lab reported

Waived tests
250

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 North Okaloosa Physician Group Primary Care in Crestview?

10D2305477, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does North Okaloosa Physician Group Primary Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2305477 expire?

The CMS file lists May 30, 2028 as the certificate expiration date; the certificate took effect May 31, 2026.

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