CLIA lab

CLIA 10D2316410: 904 Health, Inc

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

CLIA number 10D2316410 belongs to 904 Health, Inc in Tampa, FL.

Certificate of Waiver, effective January 6, 2025, expires January 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
January 6, 2025
Certificate expiration
January 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 6, 2025
Facility type
Community clinic
Ownership (control type)
Private
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
10D2316410
Lab name
904 Health, Inc
Address
1104 E Fowler Ave - Ste 100, Tampa, FL 33612
Phone
(904) 900-1513
Fax
(904) 575-4944

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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Questions

What is the CLIA number for 904 Health, Inc in Tampa?

10D2316410, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 904 Health, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2316410 expire?

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

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