10D1084862 CLIA NUMBER - BRACCIANO DERMATOLOGY PLC

Laboratory Demographics

  • CLIA Code: 10D1084862
  • Facility Name: BRACCIANO DERMATOLOGY PLC
  • Facility Address: 8430 COOPER CREEK BLVD STE 102
    UNIVERSITY PARK, FL
    ZIP 34201
  • Facility Phone: 941 360-2255
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DAVID M. BRACCIANO
  • NPI Number: 1053362764
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D1084862
LAB Type Physician Office
Facility Name BRACCIANO DERMATOLOGY PLC
Street 8430 COOPER CREEK BLVD STE 102
City UNIVERSITY PARK
State FL
ZIP 34201
Phone 941 360-2255
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 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Physician Office
Lab Director DR. DAVID M. BRACCIANO

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