10D0990698 CLIA NUMBER - GINA SEVIGNY MD PA

Laboratory Demographics

  • CLIA Code: 10D0990698
  • Facility Name: GINA SEVIGNY MD PA
  • Facility Address: 305 CLYDE MORRIS BLVD STE 150
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 615-1771
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. GINA M. SEVIGNY
  • NPI Number: 1245399237
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D0990698
LAB Type Physician Office
Facility Name GINA SEVIGNY MD PA
Street 305 CLYDE MORRIS BLVD STE 150
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 615-1771
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 10/5/2023
Certificate Expiration Date 10/4/2025
Facility Type Physician Office
Lab Director DR. GINA M. SEVIGNY

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