10D1015775 CLIA NUMBER - HOLLY WARD MD INC

Laboratory Demographics

  • CLIA Code: 10D1015775
  • Facility Name: HOLLY WARD MD INC
  • Facility Address: 11 10TH AVE
    SHALIMAR, FL
    ZIP 32579
  • Facility Phone: (850) 651-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HOLLY A. WARD
  • NPI Number: 1487619078
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1015775
LAB Type Physician Office
Facility Name HOLLY WARD MD INC
Street 11 10TH AVE
City SHALIMAR
State FL
ZIP 32579
Phone 8506513376
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 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Physician Office
Lab Director HOLLY A. WARD

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: 5/18/2026