10D2005542 CLIA NUMBER - PARKS DERMATOLOGY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2005542
  • Facility Name: PARKS DERMATOLOGY CENTER LLC
  • Facility Address: 37 OLD KINGS RD N
    PALM COAST, FL
    ZIP 32137
  • Facility Phone: (386) 677-9044
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KARTHIK D. KRISHNAMURTHY
  • NPI Number: 1629063680
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D2005542
LAB Type Physician Office
Facility Name PARKS DERMATOLOGY CENTER LLC
Street 37 OLD KINGS RD N
City PALM COAST
State FL
ZIP 32137
Phone 3866779044
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 4/22/2025
Certificate Expiration Date 4/21/2027
Facility Type Physician Office
Lab Director KARTHIK D. KRISHNAMURTHY

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