CLIA lab

CLIA 10D2320815: Bluegrass Id Associated LLC

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

CLIA number 10D2320815 belongs to Bluegrass Id Associated LLC in Palm Bay, FL.

Certificate of Waiver, effective March 25, 2025, expires March 24, 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
March 25, 2025
Certificate expiration
March 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 25, 2025
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
10D2320815
Lab name
Bluegrass Id Associated LLC
Address
5200 Babcock Street Suite 303, Palm Bay, FL 32905
Phone
(321) 499-3077
Fax
(888) 440-8238

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.

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Related

Questions

What is the CLIA number for Bluegrass Id Associated LLC in Palm Bay?

10D2320815, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bluegrass Id Associated LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2320815 expire?

The CMS file lists March 24, 2027 as the certificate expiration date; the certificate took effect March 25, 2025.

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