10D0722985 CLIA NUMBER - ADVANCED DERMATOLOGY AND COSMETIC SURGERY

Laboratory Demographics

  • CLIA Code: 10D0722985
  • Facility Name: ADVANCED DERMATOLOGY AND COSMETIC SURGERY
  • Facility Address: 1893 KINGSLEY AVENUE STE B
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: (407) 284-3407
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JUAN CARLOS MARTINEZ

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CLIA Record

Field Name Field Value
CLIA Number 10D0722985
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY AND COSMETIC SURGERY
Street 1893 KINGSLEY AVENUE STE B
City ORANGE PARK
State FL
ZIP 32073
Phone 4072843407
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 2/14/2026
Certificate Expiration Date 2/13/2028
Facility Type Physician Office
Lab Director JUAN CARLOS MARTINEZ

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This page was last updated on: 5/18/2026