10D1087523 CLIA NUMBER - SUNCOAST SKIN SOLUTIONS INC

Laboratory Demographics

  • CLIA Code: 10D1087523
  • Facility Name: SUNCOAST SKIN SOLUTIONS INC
  • Facility Address: 4651 VAN DYKE RD
    LUTZ, FL
    ZIP 33558
  • Facility Phone: 813 321-1786
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CHRISTOPHER D. EWANOWSKI
  • NPI Number: 1487827416
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D1087523
LAB Type Physician Office
Facility Name SUNCOAST SKIN SOLUTIONS INC
Street 4651 VAN DYKE RD
City LUTZ
State FL
ZIP 33558
Phone 813 321-1786
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 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director DR. CHRISTOPHER D. EWANOWSKI

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