10D1000828 CLIA NUMBER - ADVANCED DERMATOLOGY AND COSMETIC SURGERY

Laboratory Demographics

  • CLIA Code: 10D1000828
  • Facility Name: ADVANCED DERMATOLOGY AND COSMETIC SURGERY
  • Facility Address: 209 PALERMO PLACE UNIT C
    VENICE, FL
    ZIP 34285
  • Facility Phone: 407 284-3407
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MICHAEL ROBERTS
  • NPI Number: 1902971427
  • Taxonomy: 225100000X - Physical Therapist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1000828
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY AND COSMETIC SURGERY
Street 209 PALERMO PLACE UNIT C
City VENICE
State FL
ZIP 34285
Phone 407 284-3407
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 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Physician Office
Lab Director DR. MICHAEL ROBERTS

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: 3/20/2025