10D1021746 CLIA NUMBER - AQUA DERMATOLOGY OF FLORIDA PA

Laboratory Demographics

  • CLIA Code: 10D1021746
  • Facility Name: AQUA DERMATOLOGY OF FLORIDA PA
  • Facility Address: 600 VILLAGE SQ CROSSING STE 201
    PALM BEACH GARDENS, FL
    ZIP 33410
  • Facility Phone: 561 721-2400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. THEODORE A. SCHIFF
  • NPI Number: 1871542787
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D1021746
LAB Type Physician Office
Facility Name AQUA DERMATOLOGY OF FLORIDA PA
Street 600 VILLAGE SQ CROSSING STE 201
City PALM BEACH GARDENS
State FL
ZIP 33410
Phone 561 721-2400
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 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director DR. THEODORE A. SCHIFF

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