10D0268096 CLIA NUMBER - ASSOCIATED DERMATOLOGISTS

Laboratory Demographics

  • CLIA Code: 10D0268096
  • Facility Name: ASSOCIATED DERMATOLOGISTS
  • Facility Address: 155 N NOVA RD
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 672-3111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN C. LONG JR
  • NPI Number: 1861687071
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0268096
LAB Type Physician Office
Facility Name ASSOCIATED DERMATOLOGISTS
Street 155 N NOVA RD
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 672-3111
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Physician Office
Lab Director JOHN C. LONG JR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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