10D2004968 CLIA NUMBER - MACINNIS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 10D2004968
  • Facility Name: MACINNIS DERMATOLOGY
  • Facility Address: 17521 US HWY 441 STE 21
    MOUNT DORA, FL
    ZIP 32757
  • Facility Phone: 352 350-5230
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. COLLEEN MACINNIS
  • NPI Number: 1992035695
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2004968
LAB Type Physician Office
Facility Name MACINNIS DERMATOLOGY
Street 17521 US HWY 441 STE 21
City MOUNT DORA
State FL
ZIP 32757
Phone 352 350-5230
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 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Physician Office
Lab Director DR. COLLEEN MACINNIS

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