10D1011968 CLIA NUMBER - SCOTT BEALS DO PA DBA DERMATOLOGY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 10D1011968
  • Facility Name: SCOTT BEALS DO PA DBA DERMATOLOGY SURGERY CENTER
  • Facility Address: 4566 HWY 20 E STE 101
    NICEVILLE, FL
    ZIP 32578
  • Facility Phone: 850 897-7546
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SCOTT L. BEALS
  • NPI Number: 1912000464
  • Taxonomy: 207ND0900X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D1011968
LAB Type Physician Office
Facility Name SCOTT BEALS DO PA DBA DERMATOLOGY SURGERY CENTER
Street 4566 HWY 20 E STE 101
City NICEVILLE
State FL
ZIP 32578
Phone 850 897-7546
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 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Physician Office
Lab Director SCOTT L. BEALS

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