CLIA lab

CLIA 10D2350120: Conviva Medical Center Management LLC

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

CLIA number 10D2350120 belongs to Conviva Medical Center Management LLC in Orange City, FL.

Certificate of Waiver, effective September 2, 2026, expires September 1, 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
September 2, 2026
Certificate expiration
September 1, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 2, 2026
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2350120
Lab name
Conviva Medical Center Management LLC
Additional name
DBA Conviva Senior Primary Care
Address
2427 Enterprise Rd, Orange City, FL 32763
Phone
(386) 319-1758
Fax
(833) 455-8177

Annual test volume the lab reported

Waived tests
800

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Orange City, FL

Related

Questions

What is the CLIA number for Conviva Medical Center Management LLC in Orange City?

10D2350120, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Conviva Medical Center Management LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2350120 expire?

The CMS file lists September 1, 2028 as the certificate expiration date; the certificate took effect September 2, 2026.

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