10D0267221 CLIA NUMBER - DERMATOLOGY & MOHS CENTER

Laboratory Demographics

  • CLIA Code: 10D0267221
  • Facility Name: DERMATOLOGY & MOHS CENTER
  • Facility Address: 2055 PROFESSIONAL CENTER DR
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: 904 276-4500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JAMES S. TRIMBLE
  • NPI Number: 1912434242
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D0267221
LAB Type Physician Office
Facility Name DERMATOLOGY & MOHS CENTER
Street 2055 PROFESSIONAL CENTER DR
City ORANGE PARK
State FL
ZIP 32073
Phone 904 276-4500
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director JAMES S. TRIMBLE

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This page was last updated on: 9/29/2025