10D0953693 CLIA NUMBER - GENESIS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 10D0953693
  • Facility Name: GENESIS DERMATOLOGY
  • Facility Address: 600 HERITAGE DR STE 101
    JUPITER, FL
    ZIP 33458
  • Facility Phone: 561 296-5222
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SHAWNA A. FLANAGAN
  • NPI Number: 1801093661
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0953693
LAB Type Physician Office
Facility Name GENESIS DERMATOLOGY
Street 600 HERITAGE DR STE 101
City JUPITER
State FL
ZIP 33458
Phone 561 296-5222
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 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Physician Office
Lab Director DR. SHAWNA A. FLANAGAN

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