10D0663269 CLIA NUMBER - SELECT SKIN MD LLC

Laboratory Demographics

  • CLIA Code: 10D0663269
  • Facility Name: SELECT SKIN MD LLC
  • Facility Address: 1600 36TH ST STE B
    VERO BEACH, FL
    ZIP 32960
  • Facility Phone: 772 567-1164
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MONIKA SRIVASTAVA
  • NPI Number: 1427414168
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D0663269
LAB Type Physician Office
Facility Name SELECT SKIN MD LLC
Street 1600 36TH ST STE B
City VERO BEACH
State FL
ZIP 32960
Phone 772 567-1164
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 MONIKA SRIVASTAVA

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