10D0956979 CLIA NUMBER - AESTHETIC DERMATOLOGY PA

Laboratory Demographics

  • CLIA Code: 10D0956979
  • Facility Name: AESTHETIC DERMATOLOGY PA
  • Facility Address: 210 N US HWY 27 STE 1
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: 352 243-2544
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID L. ALLYN
  • NPI Number: 1225101231
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D0956979
LAB Type Physician Office
Facility Name AESTHETIC DERMATOLOGY PA
Street 210 N US HWY 27 STE 1
City CLERMONT
State FL
ZIP 34711
Phone 352 243-2544
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 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Physician Office
Lab Director DAVID L. ALLYN

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