CLIA lab
CLIA 10D2306790: Grace Pediatrics PL
Fort White, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2306790 belongs to Grace Pediatrics PL in Fort White, FL.
Certificate of Waiver, effective June 25, 2026, expires June 24, 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
- June 25, 2026
- Certificate expiration
- June 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 25, 2024
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 10D2306790
- Lab name
- Grace Pediatrics PL
- Address
- 238 SW Cullen Ave, Fort White, FL 32038
- Phone
- (386) 243-8474
- Fax
- (386) 438-5945
Annual test volume the lab reported
- Waived tests
- 1,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Grace Pediatrics PL in Fort White?
10D2306790, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grace Pediatrics PL hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2306790 expire?
The CMS file lists June 24, 2028 as the certificate expiration date; the certificate took effect June 25, 2026.