CLIA lab
CLIA 10D2307919: Impact Practitioner Services LLC
Fort Pierce, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2307919 belongs to Impact Practitioner Services LLC in Fort Pierce, FL.
Certificate of Waiver, effective July 17, 2026, expires July 16, 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
- July 17, 2026
- Certificate expiration
- July 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 17, 2024
- Facility type
- Mobile lab
- 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
- 10D2307919
- Lab name
- Impact Practitioner Services LLC
- Address
- 3307 N Indian River Drive, Fort Pierce, FL 34946
- Phone
- (772) 295-7455
- Fax
- (772) 801-5459
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fort Pierce, FL
- A Womans World Medical Center IncCertificate of Compliance, Other10D0897753
- Access Health Care Physicians LLCCertificate of Waiver, Physician office10D1097723
- Advanced Care Emergi Center & Occupational HealthCertificate of Compliance, Physician office10D0968323
- Advanced Care Partners Fort PierceCertificate of Waiver, Other10D2272923
- Adventus Laboratory Solutions LLCCertificate of Accreditation, Independent10D2289908
- Agape Behavioral Center LLCCertificate of Waiver, Other10D2287646
- American Care of South Florida IncCertificate of Waiver, Physician office10D2018738
- American Care of South Florida IncCertificate of Waiver, Physician office10D2263320
- Aqua Dermatology of Florida PA DBACertificate of Compliance, Physician office10D0992082
- Associated Coastal ENT PhysiciansCertificate of Waiver, Physician office10D2146274
Related
Questions
What is the CLIA number for Impact Practitioner Services LLC in Fort Pierce?
10D2307919, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Impact Practitioner Services LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2307919 expire?
The CMS file lists July 16, 2028 as the certificate expiration date; the certificate took effect July 17, 2026.