10D1067963 CLIA NUMBER - SOUTHEASTERN DERMATOLOGY GROUP PA

Laboratory Demographics

  • CLIA Code: 10D1067963
  • Facility Name: SOUTHEASTERN DERMATOLOGY GROUP PA
  • Facility Address: 2505 HARRISON AVE 2ND FLOOR
    PANAMA CITY, FL
    ZIP 32405
  • Facility Phone: 850 252-4401
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MICHAEL B. MORGAN
  • NPI Number: 1518972231
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D1067963
LAB Type Physician Office
Facility Name SOUTHEASTERN DERMATOLOGY GROUP PA
Street 2505 HARRISON AVE 2ND FLOOR
City PANAMA CITY
State FL
ZIP 32405
Phone 850 252-4401
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 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director DR. MICHAEL B. MORGAN

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