10D0295356 CLIA NUMBER - BLISS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 10D0295356
  • Facility Name: BLISS DERMATOLOGY
  • Facility Address: 699 S INDIANA AVENUE
    ENGLEWOOD, FL
    ZIP 34223
  • Facility Phone: 941 548-2550
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MICHELLE PENNIE
  • NPI Number: 1417357922
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D0295356
LAB Type Physician Office
Facility Name BLISS DERMATOLOGY
Street 699 S INDIANA AVENUE
City ENGLEWOOD
State FL
ZIP 34223
Phone 941 548-2550
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 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director DR. MICHELLE PENNIE

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