10D0985648 CLIA NUMBER - MELBOURNE DERMATOLOGY CENTER

Laboratory Demographics

  • CLIA Code: 10D0985648
  • Facility Name: MELBOURNE DERMATOLOGY CENTER
  • Facility Address: 333 E SHERIDAN RD
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 321 724-9650
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ADAM H. WIENER
  • NPI Number: 1720157696
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D0985648
LAB Type Physician Office
Facility Name MELBOURNE DERMATOLOGY CENTER
Street 333 E SHERIDAN RD
City MELBOURNE
State FL
ZIP 32901
Phone 321 724-9650
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 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director ADAM H. WIENER

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