10D1081226 CLIA NUMBER - PALM HARBOR DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 10D1081226
  • Facility Name: PALM HARBOR DERMATOLOGY
  • Facility Address: 4197 WOODLANDS PKWY 2ND FL
    PALM HARBOR, FL
    ZIP 34685
  • Facility Phone: (727) 786-3810
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. AMY S. ROSS
  • NPI Number: 1497927016
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D1081226
LAB Type Physician Office
Facility Name PALM HARBOR DERMATOLOGY
Street 4197 WOODLANDS PKWY 2ND FL
City PALM HARBOR
State FL
ZIP 34685
Phone 7277863810
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 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director DR. AMY S. ROSS

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This page was last updated on: 5/18/2026