10D0686385 CLIA NUMBER - ADVANTAGE DERMATOLOGY PA

Laboratory Demographics

  • CLIA Code: 10D0686385
  • Facility Name: ADVANTAGE DERMATOLOGY PA
  • Facility Address: 1514 NIRA ST
    JACKSONVILLE, FL
    ZIP 32207
  • Facility Phone: 904 387-4991
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. OLIVER A. PEREZ
  • NPI Number: 1255744793
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D0686385
LAB Type Physician Office
Facility Name ADVANTAGE DERMATOLOGY PA
Street 1514 NIRA ST
City JACKSONVILLE
State FL
ZIP 32207
Phone 904 387-4991
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director DR. OLIVER A. PEREZ

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