CLIA lab
CLIA 10D2347379: Executive Diagnostics LLC
Summerfield, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2347379 belongs to Executive Diagnostics LLC in Summerfield, FL.
Certificate of Waiver, effective July 16, 2026, expires July 15, 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 16, 2026
- Certificate expiration
- July 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 16, 2026
- 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
- 10D2347379
- Lab name
- Executive Diagnostics LLC
- Address
- 15480 SE 57th Ter, Summerfield, FL 34491
- Phone
- (352) 615-0520
- Fax
- (352) 790-1336
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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- Delcare PACertificate of Accreditation, Physician office10D2013403
- Florida Medical Associates LLC DBA Vip CareCertificate of Waiver, Physician office10D2295959
- Gastroenterology AssociatesCertificate of Waiver, Physician office10D1022153
- HC Summerfield FL, LLCCertificate of Waiver, Assisted living facility10D2230932
- HCA Florida Summerfield Emergency A Part of HCACertificate of Accreditation, Other practitioner10D2117324
- Holiday CVS LLC DBA Cvs/Pharmacy #5226Certificate of Waiver, Pharmacy10D2221949
- Kmed LLCCertificate of Waiver, Physician office10D2233483
Related
Questions
What is the CLIA number for Executive Diagnostics LLC in Summerfield?
10D2347379, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Executive Diagnostics LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2347379 expire?
The CMS file lists July 15, 2028 as the certificate expiration date; the certificate took effect July 16, 2026.